National Provider Identifier [NPI]: |
1720017908 |
Last Name Of The Provider |
POPE |
First Name Of The Provider |
KRISTEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 RAINBOW BLVD |
Street Address 2 Of The Provider |
MS 4032 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
661607234 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
5264 |
Number Of Medicare Beneficiaries |
909 |
Total Submitted Charge Amount |
327549 |
Total Medicare Allowed Amount |
93598.92 |
Total Medicare Payment Amount |
71900.12 |
Total Medicare Standardized Payment Amount |
76487 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3991 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
15986 |
Total Drug Medicare AllowedAmount |
694.59 |
Total Drug Medicare PaymentAmount |
530.13 |
Total Drug Medicare Standardized Payment Amount |
530.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
1273 |
Number Of Medicare Beneficiaries With Medical Services |
909 |
Total Medical Submitted Charge Amount |
311563 |
Total Medical Medicare Allowed Amount |
92904.33 |
Total Medical Medicare Payment Amount |
71369.99 |
Total Medical Medicare Standardized Payment Amount |
75956.87 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
429 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
557 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
784 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
795 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6168 |