National Provider Identifier [NPI]: |
1750362455 |
Last Name Of The Provider |
ROE |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1675 WOODBROOKE DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALISBURY |
Zip Code Of The Provider |
21804 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
20586 |
Number Of Medicare Beneficiaries |
1349 |
Total Submitted Charge Amount |
970031.4 |
Total Medicare Allowed Amount |
557151.1 |
Total Medicare Payment Amount |
423676.74 |
Total Medicare Standardized Payment Amount |
415430.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
16939 |
Number Of Medicare Beneficiaries With Drug Services |
565 |
Total Drug Submitted ChargeAmount |
447876.4 |
Total Drug Medicare AllowedAmount |
314197.35 |
Total Drug Medicare PaymentAmount |
240552.75 |
Total Drug Medicare Standardized Payment Amount |
240552.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
3647 |
Number Of Medicare Beneficiaries With Medical Services |
1348 |
Total Medical Submitted Charge Amount |
522155 |
Total Medical Medicare Allowed Amount |
242953.75 |
Total Medical Medicare Payment Amount |
183123.99 |
Total Medical Medicare Standardized Payment Amount |
174877.26 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
574 |
Number Of Beneficiaries Age 75 to 84 |
443 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
1063 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
1179 |
Number Of Black or African American Beneficiaries |
145 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1131 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
218 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1984 |