National Provider Identifier [NPI]: |
1700847126 |
Last Name Of The Provider |
ROTHSCHILD |
First Name Of The Provider |
RICHARD |
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 |
2241 WANKEL WAY |
Street Address 2 Of The Provider |
STE C |
City Of The Provider |
OXNARD |
Zip Code Of The Provider |
930300190 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
8439 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
1941845.54 |
Total Medicare Allowed Amount |
654609.52 |
Total Medicare Payment Amount |
495537.85 |
Total Medicare Standardized Payment Amount |
454663.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2179 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
39950 |
Total Drug Medicare AllowedAmount |
20879.95 |
Total Drug Medicare PaymentAmount |
16320.02 |
Total Drug Medicare Standardized Payment Amount |
16320.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
6260 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
1901895.54 |
Total Medical Medicare Allowed Amount |
633729.57 |
Total Medical Medicare Payment Amount |
479217.83 |
Total Medical Medicare Standardized Payment Amount |
438343.47 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
249 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
427 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
585 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
150 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
672 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.9471 |