National Provider Identifier [NPI]: |
1134162738 |
Last Name Of The Provider |
ROSENSHEIN |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
227 SAINT PAUL PL |
Street Address 2 Of The Provider |
6TH FLOOR |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212022001 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gynecological/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
2353 |
Number Of Medicare Beneficiaries |
1552 |
Total Submitted Charge Amount |
1660834.16 |
Total Medicare Allowed Amount |
481954.13 |
Total Medicare Payment Amount |
362107.27 |
Total Medicare Standardized Payment Amount |
346109.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
2353 |
Number Of Medicare Beneficiaries With Medical Services |
1552 |
Total Medical Submitted Charge Amount |
1660834.16 |
Total Medical Medicare Allowed Amount |
481954.13 |
Total Medical Medicare Payment Amount |
362107.27 |
Total Medical Medicare Standardized Payment Amount |
346109.6 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
888 |
Number Of Beneficiaries Age 75 to 84 |
439 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
1552 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
1368 |
Number Of Black or African American Beneficiaries |
130 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0327 |