National Provider Identifier [NPI]: |
1700970670 |
Last Name Of The Provider |
ROJAS |
First Name Of The Provider |
HENRY |
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 |
1071 STONELEIGH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARMEL |
Zip Code Of The Provider |
105122400 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
2302 |
Number Of Medicare Beneficiaries |
345 |
Total Submitted Charge Amount |
150416.24 |
Total Medicare Allowed Amount |
144690.62 |
Total Medicare Payment Amount |
104146.69 |
Total Medicare Standardized Payment Amount |
99619.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
931.6 |
Total Drug Medicare AllowedAmount |
811.21 |
Total Drug Medicare PaymentAmount |
778.48 |
Total Drug Medicare Standardized Payment Amount |
778.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2219 |
Number Of Medicare Beneficiaries With Medical Services |
345 |
Total Medical Submitted Charge Amount |
149484.64 |
Total Medical Medicare Allowed Amount |
143879.41 |
Total Medical Medicare Payment Amount |
103368.21 |
Total Medical Medicare Standardized Payment Amount |
98841.42 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
306 |
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 |
283 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1907 |