National Provider Identifier [NPI]: |
1497720650 |
Last Name Of The Provider |
PAUL |
First Name Of The Provider |
ROGI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4212 OLD WILLIAM PENN HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MURRYSVILLE |
Zip Code Of The Provider |
156681901 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1662 |
Number Of Medicare Beneficiaries |
207 |
Total Submitted Charge Amount |
315941 |
Total Medicare Allowed Amount |
134790.48 |
Total Medicare Payment Amount |
100542.85 |
Total Medicare Standardized Payment Amount |
103649.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
37 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
662 |
Total Drug Medicare AllowedAmount |
527.74 |
Total Drug Medicare PaymentAmount |
505.42 |
Total Drug Medicare Standardized Payment Amount |
505.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1625 |
Number Of Medicare Beneficiaries With Medical Services |
207 |
Total Medical Submitted Charge Amount |
315279 |
Total Medical Medicare Allowed Amount |
134262.74 |
Total Medical Medicare Payment Amount |
100037.43 |
Total Medical Medicare Standardized Payment Amount |
103144.39 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
35 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
74 |
Number Of Non Hispanic White Beneficiaries |
159 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
142 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
51 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
2.5523 |