| National Provider Identifier [NPI]: | 1538132352 |
| Last Name Of The Provider | ROTH |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 10 PLUM ST |
| Street Address 2 Of The Provider | SUITE 600 |
| City Of The Provider | NEW BRUNSWICK |
| Zip Code Of The Provider | 089012065 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 62 |
| Number Of Services | 23405 |
| Number Of Medicare Beneficiaries | 1237 |
| Total Submitted Charge Amount | 11423949.12 |
| Total Medicare Allowed Amount | 5029995.87 |
| Total Medicare Payment Amount | 3891213.83 |
| Total Medicare Standardized Payment Amount | 3826104.13 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 10227 |
| Number Of Medicare Beneficiaries With Drug Services | 506 |
| Total Drug Submitted ChargeAmount | 8091469.69 |
| Total Drug Medicare AllowedAmount | 3847645.92 |
| Total Drug Medicare PaymentAmount | 3002564.87 |
| Total Drug Medicare Standardized Payment Amount | 3002564.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 52 |
| Number Of Medical Services | 13178 |
| Number Of Medicare Beneficiaries With Medical Services | 1237 |
| Total Medical Submitted Charge Amount | 3332479.43 |
| Total Medical Medicare Allowed Amount | 1182349.95 |
| Total Medical Medicare Payment Amount | 888648.96 |
| Total Medical Medicare Standardized Payment Amount | 823539.26 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | 43 |
| Number Of Beneficiaries Age 65 to 74 | 374 |
| Number Of Beneficiaries Age 75 to 84 | 469 |
| Number Of Beneficiaries Age Greater 84 | 351 |
| Number Of Female Beneficiaries | 735 |
| Number Of Male Beneficiaries | 502 |
| Number Of Non Hispanic White Beneficiaries | 1140 |
| Number Of Black or African American Beneficiaries | 33 |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1177 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 60 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5042 |