| National Provider Identifier [NPI]: | 1376525196 |
| Last Name Of The Provider | ROUGH |
| First Name Of The Provider | RANDOLPH |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5880 UNIVERSITY AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | WEST DES MOINES |
| Zip Code Of The Provider | 502668220 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 97 |
| Number Of Services | 21995 |
| Number Of Medicare Beneficiaries | 9876 |
| Total Submitted Charge Amount | 2877966.6 |
| Total Medicare Allowed Amount | 1017769.85 |
| Total Medicare Payment Amount | 707436.43 |
| Total Medicare Standardized Payment Amount | 773589.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 163 |
| Number Of Medicare Beneficiaries With Drug Services | 43 |
| Total Drug Submitted ChargeAmount | 8005.82 |
| Total Drug Medicare AllowedAmount | 7997.73 |
| Total Drug Medicare PaymentAmount | 6245.68 |
| Total Drug Medicare Standardized Payment Amount | 6245.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 94 |
| Number Of Medical Services | 21832 |
| Number Of Medicare Beneficiaries With Medical Services | 9876 |
| Total Medical Submitted Charge Amount | 2869960.78 |
| Total Medical Medicare Allowed Amount | 1009772.12 |
| Total Medical Medicare Payment Amount | 701190.75 |
| Total Medical Medicare Standardized Payment Amount | 767343.74 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 901 |
| Number Of Beneficiaries Age 65 to 74 | 3348 |
| Number Of Beneficiaries Age 75 to 84 | 3530 |
| Number Of Beneficiaries Age Greater 84 | 2097 |
| Number Of Female Beneficiaries | 4785 |
| Number Of Male Beneficiaries | 5091 |
| Number Of Non Hispanic White Beneficiaries | 9473 |
| Number Of Black or African American Beneficiaries | 184 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 75 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 75 |
| Number Of Beneficiaries With Medicare Only Entitlement | 8231 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1645 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4691 |