National Provider Identifier [NPI]: |
1376526442 |
Last Name Of The Provider |
THOMPSON |
First Name Of The Provider |
ROGER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
140 TINDALL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDDLETOWN |
Zip Code Of The Provider |
077482335 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
3195 |
Number Of Medicare Beneficiaries |
927 |
Total Submitted Charge Amount |
266374 |
Total Medicare Allowed Amount |
227314.86 |
Total Medicare Payment Amount |
156559.74 |
Total Medicare Standardized Payment Amount |
147592.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
346 |
Number Of Medicare Beneficiaries With Drug Services |
262 |
Total Drug Submitted ChargeAmount |
10614 |
Total Drug Medicare AllowedAmount |
6119.77 |
Total Drug Medicare PaymentAmount |
5886.37 |
Total Drug Medicare Standardized Payment Amount |
5886.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2849 |
Number Of Medicare Beneficiaries With Medical Services |
927 |
Total Medical Submitted Charge Amount |
255760 |
Total Medical Medicare Allowed Amount |
221195.09 |
Total Medical Medicare Payment Amount |
150673.37 |
Total Medical Medicare Standardized Payment Amount |
141706.05 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
288 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
524 |
Number Of Male Beneficiaries |
403 |
Number Of Non Hispanic White Beneficiaries |
884 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
817 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2292 |