National Provider Identifier [NPI]: |
1619012291 |
Last Name Of The Provider |
ROGERS |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1838 GREENE TREE RD |
Street Address 2 Of The Provider |
SUITE 535 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212086391 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
5739 |
Number Of Medicare Beneficiaries |
2070 |
Total Submitted Charge Amount |
1353697.6 |
Total Medicare Allowed Amount |
511297.65 |
Total Medicare Payment Amount |
387506.16 |
Total Medicare Standardized Payment Amount |
367964.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
519 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
108936 |
Total Drug Medicare AllowedAmount |
27483.83 |
Total Drug Medicare PaymentAmount |
20982.03 |
Total Drug Medicare Standardized Payment Amount |
20982.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
5220 |
Number Of Medicare Beneficiaries With Medical Services |
2070 |
Total Medical Submitted Charge Amount |
1244761.6 |
Total Medical Medicare Allowed Amount |
483813.82 |
Total Medical Medicare Payment Amount |
366524.13 |
Total Medical Medicare Standardized Payment Amount |
346982.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
226 |
Number Of Beneficiaries Age 65 to 74 |
745 |
Number Of Beneficiaries Age 75 to 84 |
658 |
Number Of Beneficiaries Age Greater 84 |
441 |
Number Of Female Beneficiaries |
1105 |
Number Of Male Beneficiaries |
965 |
Number Of Non Hispanic White Beneficiaries |
1163 |
Number Of Black or African American Beneficiaries |
845 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
419 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8176 |