National Provider Identifier [NPI]: |
1568568319 |
Last Name Of The Provider |
POPE |
First Name Of The Provider |
STAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
212 HERITAGE PARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MURFREESBORO |
Zip Code Of The Provider |
371291549 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
23519 |
Number Of Medicare Beneficiaries |
3128 |
Total Submitted Charge Amount |
1636605.63 |
Total Medicare Allowed Amount |
299937.55 |
Total Medicare Payment Amount |
231598.03 |
Total Medicare Standardized Payment Amount |
255238.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
16729 |
Number Of Medicare Beneficiaries With Drug Services |
173 |
Total Drug Submitted ChargeAmount |
6113.45 |
Total Drug Medicare AllowedAmount |
3686.98 |
Total Drug Medicare PaymentAmount |
2687.89 |
Total Drug Medicare Standardized Payment Amount |
2687.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
183 |
Number Of Medical Services |
6790 |
Number Of Medicare Beneficiaries With Medical Services |
3125 |
Total Medical Submitted Charge Amount |
1630492.18 |
Total Medical Medicare Allowed Amount |
296250.57 |
Total Medical Medicare Payment Amount |
228910.14 |
Total Medical Medicare Standardized Payment Amount |
252550.91 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
667 |
Number Of Beneficiaries Age 65 to 74 |
1208 |
Number Of Beneficiaries Age 75 to 84 |
851 |
Number Of Beneficiaries Age Greater 84 |
402 |
Number Of Female Beneficiaries |
2012 |
Number Of Male Beneficiaries |
1116 |
Number Of Non Hispanic White Beneficiaries |
2815 |
Number Of Black or African American Beneficiaries |
233 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2330 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
798 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6365 |