National Provider Identifier [NPI]: |
1376694901 |
Last Name Of The Provider |
POPE |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2525 GLENN W HENDREN DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LIBERTY |
Zip Code Of The Provider |
64068 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
224 |
Number Of Services |
8238 |
Number Of Medicare Beneficiaries |
4516 |
Total Submitted Charge Amount |
959522.01 |
Total Medicare Allowed Amount |
253173.37 |
Total Medicare Payment Amount |
192947.98 |
Total Medicare Standardized Payment Amount |
196663.03 |
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 |
224 |
Number Of Medical Services |
8238 |
Number Of Medicare Beneficiaries With Medical Services |
4516 |
Total Medical Submitted Charge Amount |
959522.01 |
Total Medical Medicare Allowed Amount |
253173.37 |
Total Medical Medicare Payment Amount |
192947.98 |
Total Medical Medicare Standardized Payment Amount |
196663.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
748 |
Number Of Beneficiaries Age 65 to 74 |
1547 |
Number Of Beneficiaries Age 75 to 84 |
1416 |
Number Of Beneficiaries Age Greater 84 |
805 |
Number Of Female Beneficiaries |
2822 |
Number Of Male Beneficiaries |
1694 |
Number Of Non Hispanic White Beneficiaries |
4370 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
3541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
975 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3962 |