National Provider Identifier [NPI]: |
1942428628 |
Last Name Of The Provider |
KROPF |
First Name Of The Provider |
JUSTIN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
927 N JAMES CAMPBELL BLVD |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
384012753 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
6428 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
843282.5 |
Total Medicare Allowed Amount |
319018.68 |
Total Medicare Payment Amount |
244317.15 |
Total Medicare Standardized Payment Amount |
261035.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2780 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
135531.5 |
Total Drug Medicare AllowedAmount |
49102.68 |
Total Drug Medicare PaymentAmount |
38332.44 |
Total Drug Medicare Standardized Payment Amount |
38332.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
3648 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
707751 |
Total Medical Medicare Allowed Amount |
269916 |
Total Medical Medicare Payment Amount |
205984.71 |
Total Medical Medicare Standardized Payment Amount |
222702.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
215 |
Number Of Male Beneficiaries |
315 |
Number Of Non Hispanic White Beneficiaries |
491 |
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 |
416 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3106 |