National Provider Identifier [NPI]: |
1285609784 |
Last Name Of The Provider |
ROJAS |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1125 COLLEGE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761044514 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
17935 |
Number Of Medicare Beneficiaries |
721 |
Total Submitted Charge Amount |
1283765.44 |
Total Medicare Allowed Amount |
441416.25 |
Total Medicare Payment Amount |
342923.86 |
Total Medicare Standardized Payment Amount |
345647.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
14980 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
715703.61 |
Total Drug Medicare AllowedAmount |
195781.36 |
Total Drug Medicare PaymentAmount |
153253.12 |
Total Drug Medicare Standardized Payment Amount |
153253.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2955 |
Number Of Medicare Beneficiaries With Medical Services |
721 |
Total Medical Submitted Charge Amount |
568061.83 |
Total Medical Medicare Allowed Amount |
245634.89 |
Total Medical Medicare Payment Amount |
189670.74 |
Total Medical Medicare Standardized Payment Amount |
192394.4 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
483 |
Number Of Black or African American Beneficiaries |
141 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
79 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
256 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
69 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
3.6664 |