| National Provider Identifier [NPI]: | 1285615468 |
| Last Name Of The Provider | KLOPOUH |
| First Name Of The Provider | LEONID |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 25 CROSSROADS DR |
| Street Address 2 Of The Provider | SUITE 205 |
| City Of The Provider | OWINGS MILLS |
| Zip Code Of The Provider | 211175421 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nephrology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 62 |
| Number Of Services | 38477 |
| Number Of Medicare Beneficiaries | 1030 |
| Total Submitted Charge Amount | 5798236.41 |
| Total Medicare Allowed Amount | 1572084.58 |
| Total Medicare Payment Amount | 1216101.67 |
| Total Medicare Standardized Payment Amount | 1140839.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 35022 |
| Number Of Medicare Beneficiaries With Drug Services | 470 |
| Total Drug Submitted ChargeAmount | 53684.84 |
| Total Drug Medicare AllowedAmount | 20528.44 |
| Total Drug Medicare PaymentAmount | 15626.19 |
| Total Drug Medicare Standardized Payment Amount | 15626.19 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 3455 |
| Number Of Medicare Beneficiaries With Medical Services | 1030 |
| Total Medical Submitted Charge Amount | 5744551.57 |
| Total Medical Medicare Allowed Amount | 1551556.14 |
| Total Medical Medicare Payment Amount | 1200475.48 |
| Total Medical Medicare Standardized Payment Amount | 1125213.49 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 324 |
| Number Of Beneficiaries Age 65 to 74 | 299 |
| Number Of Beneficiaries Age 75 to 84 | 276 |
| Number Of Beneficiaries Age Greater 84 | 131 |
| Number Of Female Beneficiaries | 504 |
| Number Of Male Beneficiaries | 526 |
| Number Of Non Hispanic White Beneficiaries | 334 |
| Number Of Black or African American Beneficiaries | 655 |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| 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 | 621 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 409 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 63 |
| Percent Of With Chronic Kidney Disease | 75 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 72 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 6.5903 |