Medicare Facts for Dr. Marta B. Roth, MD


National Provider Identifier [NPI]: 1528085503
Last Name Of The Provider ROTH
First Name Of The Provider MARTA
Middle Initial Of The Provider B
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3094 W MARKET ST
Street Address 2 Of The Provider STE 136
City Of The Provider FAIRLAWN
Zip Code Of The Provider 443333617
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 32
Number Of Services 548
Number Of Medicare Beneficiaries 60
Total Submitted Charge Amount 44727
Total Medicare Allowed Amount 26147.94
Total Medicare Payment Amount 19045.66
Total Medicare Standardized Payment Amount 19782.53
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 38
Number Of Medicare Beneficiaries With Drug Services 25
Total Drug Submitted ChargeAmount 653
Total Drug Medicare AllowedAmount 383.13
Total Drug Medicare PaymentAmount 368.99
Total Drug Medicare Standardized Payment Amount 368.99
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 510
Number Of Medicare Beneficiaries With Medical Services 60
Total Medical Submitted Charge Amount 44074
Total Medical Medicare Allowed Amount 25764.81
Total Medical Medicare Payment Amount 18676.67
Total Medical Medicare Standardized Payment Amount 19413.54
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 24
Number Of Beneficiaries Age 75 to 84 20
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 43
Number Of Male Beneficiaries 17
Number Of Non Hispanic White Beneficiaries 48
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 20
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.1492

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