National Provider Identifier [NPI]: |
1609864842 |
Last Name Of The Provider |
OROSZ |
First Name Of The Provider |
GRETCHEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 DODSON AVE |
Street Address 2 Of The Provider |
STE 125 |
City Of The Provider |
FORT SMITH |
Zip Code Of The Provider |
729015182 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
2297 |
Number Of Medicare Beneficiaries |
696 |
Total Submitted Charge Amount |
415253 |
Total Medicare Allowed Amount |
146877.79 |
Total Medicare Payment Amount |
108303.54 |
Total Medicare Standardized Payment Amount |
114632.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
85 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
3400 |
Total Drug Medicare AllowedAmount |
1016.48 |
Total Drug Medicare PaymentAmount |
996.22 |
Total Drug Medicare Standardized Payment Amount |
996.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2212 |
Number Of Medicare Beneficiaries With Medical Services |
696 |
Total Medical Submitted Charge Amount |
411853 |
Total Medical Medicare Allowed Amount |
145861.31 |
Total Medical Medicare Payment Amount |
107307.32 |
Total Medical Medicare Standardized Payment Amount |
113635.88 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
267 |
Number Of Beneficiaries Age Greater 84 |
259 |
Number Of Female Beneficiaries |
504 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
636 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
30 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
534 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4338 |