National Provider Identifier [NPI]: |
1487687927 |
Last Name Of The Provider |
POROPATICH |
First Name Of The Provider |
CARY |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1625 N GEORGE MASON DR |
Street Address 2 Of The Provider |
PATHOLOGY DEPT |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222053683 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
5053 |
Number Of Medicare Beneficiaries |
1510 |
Total Submitted Charge Amount |
982614 |
Total Medicare Allowed Amount |
176926.15 |
Total Medicare Payment Amount |
137696.94 |
Total Medicare Standardized Payment Amount |
97034.37 |
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 |
31 |
Number Of Medical Services |
5053 |
Number Of Medicare Beneficiaries With Medical Services |
1510 |
Total Medical Submitted Charge Amount |
982614 |
Total Medical Medicare Allowed Amount |
176926.15 |
Total Medical Medicare Payment Amount |
137696.94 |
Total Medical Medicare Standardized Payment Amount |
97034.37 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
752 |
Number Of Beneficiaries Age 75 to 84 |
469 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
845 |
Number Of Male Beneficiaries |
665 |
Number Of Non Hispanic White Beneficiaries |
1118 |
Number Of Black or African American Beneficiaries |
156 |
Number Of AsianPacific Islander Beneficiaries |
95 |
Number Of Hispanic Beneficiaries |
108 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1356 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2397 |