National Provider Identifier [NPI]: |
1750338927 |
Last Name Of The Provider |
ROSETTI |
First Name Of The Provider |
MIHAELA |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13640 N PLAZA DEL RIO BLVD STE 230 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
853814846 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
3539 |
Number Of Medicare Beneficiaries |
947 |
Total Submitted Charge Amount |
794996.8 |
Total Medicare Allowed Amount |
374165.16 |
Total Medicare Payment Amount |
287718.99 |
Total Medicare Standardized Payment Amount |
290569.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
213 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
21399.8 |
Total Drug Medicare AllowedAmount |
10993.03 |
Total Drug Medicare PaymentAmount |
8618.49 |
Total Drug Medicare Standardized Payment Amount |
8618.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3326 |
Number Of Medicare Beneficiaries With Medical Services |
947 |
Total Medical Submitted Charge Amount |
773597 |
Total Medical Medicare Allowed Amount |
363172.13 |
Total Medical Medicare Payment Amount |
279100.5 |
Total Medical Medicare Standardized Payment Amount |
281951.2 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
482 |
Number Of Male Beneficiaries |
465 |
Number Of Non Hispanic White Beneficiaries |
878 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
907 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4942 |