Medicare Facts for Dr. Joshua J. Rother, MD


National Provider Identifier [NPI]: 1417900358
Last Name Of The Provider ROTHER
First Name Of The Provider JOSHUA
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1000 E 1ST ST
Street Address 2 Of The Provider SUITE 400
City Of The Provider DULUTH
Zip Code Of The Provider 558052297
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 68
Number Of Services 2259
Number Of Medicare Beneficiaries 308
Total Submitted Charge Amount 572663
Total Medicare Allowed Amount 137951.17
Total Medicare Payment Amount 102896.88
Total Medicare Standardized Payment Amount 105602.37
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 1308
Number Of Medicare Beneficiaries With Drug Services 135
Total Drug Submitted ChargeAmount 14372
Total Drug Medicare AllowedAmount 8456.1
Total Drug Medicare PaymentAmount 6513.73
Total Drug Medicare Standardized Payment Amount 6513.73
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 64
Number Of Medical Services 951
Number Of Medicare Beneficiaries With Medical Services 308
Total Medical Submitted Charge Amount 558291
Total Medical Medicare Allowed Amount 129495.07
Total Medical Medicare Payment Amount 96383.15
Total Medical Medicare Standardized Payment Amount 99088.64
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 80
Number Of Beneficiaries Age 65 to 74 98
Number Of Beneficiaries Age 75 to 84 93
Number Of Beneficiaries Age Greater 84 37
Number Of Female Beneficiaries 191
Number Of Male Beneficiaries 117
Number Of Non Hispanic White Beneficiaries 292
Number Of Black or African American Beneficiaries 0
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
Number Of Beneficiaries With Medicare Only Entitlement 238
Number Of Beneficiaries With Medicare Medicaid Entitlement 70
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 7
Percent Of With Cancer 7
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 21
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 51
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 70
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0131

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