National Provider Identifier [NPI]: |
1962848978 |
Last Name Of The Provider |
ARTOLA |
First Name Of The Provider |
ROSA |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 E HALLANDALE BEACH BLVD STE 302 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HALLANDALE BEACH |
Zip Code Of The Provider |
330093771 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
1919 |
Number Of Medicare Beneficiaries |
112 |
Total Submitted Charge Amount |
94941.9 |
Total Medicare Allowed Amount |
76993.81 |
Total Medicare Payment Amount |
58959.93 |
Total Medicare Standardized Payment Amount |
57078.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1364 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
27983.9 |
Total Drug Medicare AllowedAmount |
24523.89 |
Total Drug Medicare PaymentAmount |
19226.59 |
Total Drug Medicare Standardized Payment Amount |
19226.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
555 |
Number Of Medicare Beneficiaries With Medical Services |
112 |
Total Medical Submitted Charge Amount |
66958 |
Total Medical Medicare Allowed Amount |
52469.92 |
Total Medical Medicare Payment Amount |
39733.34 |
Total Medical Medicare Standardized Payment Amount |
37851.85 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
38 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
81 |
Number Of Male Beneficiaries |
31 |
Number Of Non Hispanic White Beneficiaries |
92 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2868 |