National Provider Identifier [NPI]: |
1528058237 |
Last Name Of The Provider |
ROTHSTEIN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1145 19TH ST NW |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200363701 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
254 |
Number Of Services |
5524 |
Number Of Medicare Beneficiaries |
1449 |
Total Submitted Charge Amount |
903329 |
Total Medicare Allowed Amount |
254411.83 |
Total Medicare Payment Amount |
194752.35 |
Total Medicare Standardized Payment Amount |
176778.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2571 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
3264 |
Total Drug Medicare AllowedAmount |
907.17 |
Total Drug Medicare PaymentAmount |
701.16 |
Total Drug Medicare Standardized Payment Amount |
701.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
251 |
Number Of Medical Services |
2953 |
Number Of Medicare Beneficiaries With Medical Services |
1449 |
Total Medical Submitted Charge Amount |
900065 |
Total Medical Medicare Allowed Amount |
253504.66 |
Total Medical Medicare Payment Amount |
194051.19 |
Total Medical Medicare Standardized Payment Amount |
176077.69 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
520 |
Number Of Beneficiaries Age 75 to 84 |
467 |
Number Of Beneficiaries Age Greater 84 |
393 |
Number Of Female Beneficiaries |
862 |
Number Of Male Beneficiaries |
587 |
Number Of Non Hispanic White Beneficiaries |
1122 |
Number Of Black or African American Beneficiaries |
199 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
1291 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5705 |