National Provider Identifier [NPI]: |
1205993458 |
Last Name Of The Provider |
ROPP |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 W 16TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PUEBLO |
Zip Code Of The Provider |
810032745 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
2936 |
Number Of Medicare Beneficiaries |
1075 |
Total Submitted Charge Amount |
132402.85 |
Total Medicare Allowed Amount |
103139.95 |
Total Medicare Payment Amount |
80295.96 |
Total Medicare Standardized Payment Amount |
62656.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2936 |
Number Of Medicare Beneficiaries With Medical Services |
1075 |
Total Medical Submitted Charge Amount |
132402.85 |
Total Medical Medicare Allowed Amount |
103139.95 |
Total Medical Medicare Payment Amount |
80295.96 |
Total Medical Medicare Standardized Payment Amount |
62656.58 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
418 |
Number Of Beneficiaries Age 75 to 84 |
324 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
786 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
264 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
282 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4216 |