National Provider Identifier [NPI]: |
1740256080 |
Last Name Of The Provider |
ROZRAN |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
220 SOLOMONS ISLAND RD N |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRINCE FREDERICK |
Zip Code Of The Provider |
206783926 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
2263 |
Number Of Medicare Beneficiaries |
267 |
Total Submitted Charge Amount |
288246 |
Total Medicare Allowed Amount |
117340.21 |
Total Medicare Payment Amount |
87874.94 |
Total Medicare Standardized Payment Amount |
87371.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1135 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
17840 |
Total Drug Medicare AllowedAmount |
13606.28 |
Total Drug Medicare PaymentAmount |
10481.88 |
Total Drug Medicare Standardized Payment Amount |
10481.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
1128 |
Number Of Medicare Beneficiaries With Medical Services |
267 |
Total Medical Submitted Charge Amount |
270406 |
Total Medical Medicare Allowed Amount |
103733.93 |
Total Medical Medicare Payment Amount |
77393.06 |
Total Medical Medicare Standardized Payment Amount |
76889.74 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
216 |
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 |
236 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0763 |