National Provider Identifier [NPI]: |
1386646834 |
Last Name Of The Provider |
POPESCU |
First Name Of The Provider |
CRISTIAN |
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 |
339 W SPRING ST |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
TITUSVILLE |
Zip Code Of The Provider |
163541655 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
4635 |
Number Of Medicare Beneficiaries |
491 |
Total Submitted Charge Amount |
207164 |
Total Medicare Allowed Amount |
179109.15 |
Total Medicare Payment Amount |
132370.2 |
Total Medicare Standardized Payment Amount |
136594.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2492 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
18917 |
Total Drug Medicare AllowedAmount |
17566.9 |
Total Drug Medicare PaymentAmount |
14240.06 |
Total Drug Medicare Standardized Payment Amount |
14240.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2143 |
Number Of Medicare Beneficiaries With Medical Services |
491 |
Total Medical Submitted Charge Amount |
188247 |
Total Medical Medicare Allowed Amount |
161542.25 |
Total Medical Medicare Payment Amount |
118130.14 |
Total Medical Medicare Standardized Payment Amount |
122354.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
313 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4166 |