National Provider Identifier [NPI]: |
1750351359 |
Last Name Of The Provider |
KNOPF |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5354 REYNOLDS ST |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314056007 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
215 |
Number Of Services |
13948 |
Number Of Medicare Beneficiaries |
7346 |
Total Submitted Charge Amount |
1108180 |
Total Medicare Allowed Amount |
356534.08 |
Total Medicare Payment Amount |
260278.23 |
Total Medicare Standardized Payment Amount |
273368.47 |
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 |
215 |
Number Of Medical Services |
13948 |
Number Of Medicare Beneficiaries With Medical Services |
7346 |
Total Medical Submitted Charge Amount |
1108180 |
Total Medical Medicare Allowed Amount |
356534.08 |
Total Medical Medicare Payment Amount |
260278.23 |
Total Medical Medicare Standardized Payment Amount |
273368.47 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
1198 |
Number Of Beneficiaries Age 65 to 74 |
2939 |
Number Of Beneficiaries Age 75 to 84 |
2145 |
Number Of Beneficiaries Age Greater 84 |
1064 |
Number Of Female Beneficiaries |
4426 |
Number Of Male Beneficiaries |
2920 |
Number Of Non Hispanic White Beneficiaries |
5239 |
Number Of Black or African American Beneficiaries |
1914 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
88 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
54 |
Number Of Beneficiaries With Medicare Only Entitlement |
5622 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1724 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6848 |