National Provider Identifier [NPI]: |
1326083171 |
Last Name Of The Provider |
ROZIN |
First Name Of The Provider |
ROMAN |
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 |
1250 S TAMIAMI TRL |
Street Address 2 Of The Provider |
1250 MEDICAL PLAZA STE 103 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342392207 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
11061 |
Number Of Medicare Beneficiaries |
4185 |
Total Submitted Charge Amount |
1566111.67 |
Total Medicare Allowed Amount |
1273894.02 |
Total Medicare Payment Amount |
983943.35 |
Total Medicare Standardized Payment Amount |
1015504.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4986 |
Number Of Medicare Beneficiaries With Drug Services |
330 |
Total Drug Submitted ChargeAmount |
9331.6 |
Total Drug Medicare AllowedAmount |
6130.46 |
Total Drug Medicare PaymentAmount |
4740.15 |
Total Drug Medicare Standardized Payment Amount |
4740.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
6075 |
Number Of Medicare Beneficiaries With Medical Services |
4185 |
Total Medical Submitted Charge Amount |
1556780.07 |
Total Medical Medicare Allowed Amount |
1267763.56 |
Total Medical Medicare Payment Amount |
979203.2 |
Total Medical Medicare Standardized Payment Amount |
1010764.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
355 |
Number Of Beneficiaries Age 65 to 74 |
2235 |
Number Of Beneficiaries Age 75 to 84 |
1283 |
Number Of Beneficiaries Age Greater 84 |
312 |
Number Of Female Beneficiaries |
2456 |
Number Of Male Beneficiaries |
1729 |
Number Of Non Hispanic White Beneficiaries |
3913 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
92 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
61 |
Number Of Beneficiaries With Medicare Only Entitlement |
3925 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
260 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9871 |