National Provider Identifier [NPI]: |
1174586903 |
Last Name Of The Provider |
POPP |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8740 NORTH KENDAL DRIVE |
Street Address 2 Of The Provider |
SUITE 114 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
33176 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
3432 |
Number Of Medicare Beneficiaries |
254 |
Total Submitted Charge Amount |
593436.4 |
Total Medicare Allowed Amount |
235081.15 |
Total Medicare Payment Amount |
186126.5 |
Total Medicare Standardized Payment Amount |
164870.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
778 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
12252.4 |
Total Drug Medicare AllowedAmount |
3516.1 |
Total Drug Medicare PaymentAmount |
2754.41 |
Total Drug Medicare Standardized Payment Amount |
2754.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
2654 |
Number Of Medicare Beneficiaries With Medical Services |
254 |
Total Medical Submitted Charge Amount |
581184 |
Total Medical Medicare Allowed Amount |
231565.05 |
Total Medical Medicare Payment Amount |
183372.09 |
Total Medical Medicare Standardized Payment Amount |
162116.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
108 |
Number Of Non Hispanic White Beneficiaries |
133 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
107 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9717 |