| National Provider Identifier [NPI]: | 1710987110 |
| Last Name Of The Provider | ROSTEN |
| First Name Of The Provider | SLOAN |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 748 KINGS HWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | WOODBURY |
| Zip Code Of The Provider | 080963157 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 174 |
| Number Of Services | 11901.8 |
| Number Of Medicare Beneficiaries | 2767 |
| Total Submitted Charge Amount | 1507499 |
| Total Medicare Allowed Amount | 373333.9 |
| Total Medicare Payment Amount | 301005.21 |
| Total Medicare Standardized Payment Amount | 277950.73 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 7539.8 |
| Number Of Medicare Beneficiaries With Drug Services | 128 |
| Total Drug Submitted ChargeAmount | 10884 |
| Total Drug Medicare AllowedAmount | 2853.57 |
| Total Drug Medicare PaymentAmount | 2237.17 |
| Total Drug Medicare Standardized Payment Amount | 2237.17 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 170 |
| Number Of Medical Services | 4362 |
| Number Of Medicare Beneficiaries With Medical Services | 2767 |
| Total Medical Submitted Charge Amount | 1496615 |
| Total Medical Medicare Allowed Amount | 370480.33 |
| Total Medical Medicare Payment Amount | 298768.04 |
| Total Medical Medicare Standardized Payment Amount | 275713.56 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 448 |
| Number Of Beneficiaries Age 65 to 74 | 1162 |
| Number Of Beneficiaries Age 75 to 84 | 798 |
| Number Of Beneficiaries Age Greater 84 | 359 |
| Number Of Female Beneficiaries | 1890 |
| Number Of Male Beneficiaries | 877 |
| Number Of Non Hispanic White Beneficiaries | 2387 |
| Number Of Black or African American Beneficiaries | 276 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 53 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2366 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 401 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.2881 |