| National Provider Identifier [NPI]: | 1619952603 |
| Last Name Of The Provider | AROSE |
| First Name Of The Provider | BRUCE |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 111 FOUNDERS PLZ |
| Street Address 2 Of The Provider | SUITE 400 |
| City Of The Provider | EAST HARTFORD |
| Zip Code Of The Provider | 061083212 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 150 |
| Number Of Services | 12226 |
| Number Of Medicare Beneficiaries | 4460 |
| Total Submitted Charge Amount | 1054977 |
| Total Medicare Allowed Amount | 258000.71 |
| Total Medicare Payment Amount | 195566.52 |
| Total Medicare Standardized Payment Amount | 187917.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 5081 |
| Number Of Medicare Beneficiaries With Drug Services | 63 |
| Total Drug Submitted ChargeAmount | 18139 |
| Total Drug Medicare AllowedAmount | 1369.75 |
| Total Drug Medicare PaymentAmount | 1073.83 |
| Total Drug Medicare Standardized Payment Amount | 1073.83 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 146 |
| Number Of Medical Services | 7145 |
| Number Of Medicare Beneficiaries With Medical Services | 4460 |
| Total Medical Submitted Charge Amount | 1036838 |
| Total Medical Medicare Allowed Amount | 256630.96 |
| Total Medical Medicare Payment Amount | 194492.69 |
| Total Medical Medicare Standardized Payment Amount | 186843.29 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1001 |
| Number Of Beneficiaries Age 65 to 74 | 1188 |
| Number Of Beneficiaries Age 75 to 84 | 1188 |
| Number Of Beneficiaries Age Greater 84 | 1083 |
| Number Of Female Beneficiaries | 2557 |
| Number Of Male Beneficiaries | 1903 |
| Number Of Non Hispanic White Beneficiaries | 3792 |
| Number Of Black or African American Beneficiaries | 137 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 438 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2473 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1987 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9016 |