| National Provider Identifier [NPI]: | 1700887247 |
| Last Name Of The Provider | POP |
| First Name Of The Provider | LIVIU |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1317 N ELM STREET |
| Street Address 2 Of The Provider | SUITE 1B |
| City Of The Provider | GREENSBORO |
| Zip Code Of The Provider | 274011023 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 102 |
| Number Of Services | 7819 |
| Number Of Medicare Beneficiaries | 4118 |
| Total Submitted Charge Amount | 402142.8 |
| Total Medicare Allowed Amount | 118664.25 |
| Total Medicare Payment Amount | 86901.28 |
| Total Medicare Standardized Payment Amount | 91150.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2531 |
| Number Of Medicare Beneficiaries With Drug Services | 27 |
| Total Drug Submitted ChargeAmount | 1634.8 |
| Total Drug Medicare AllowedAmount | 446.01 |
| Total Drug Medicare PaymentAmount | 349.68 |
| Total Drug Medicare Standardized Payment Amount | 349.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 101 |
| Number Of Medical Services | 5288 |
| Number Of Medicare Beneficiaries With Medical Services | 4118 |
| Total Medical Submitted Charge Amount | 400508 |
| Total Medical Medicare Allowed Amount | 118218.24 |
| Total Medical Medicare Payment Amount | 86551.6 |
| Total Medical Medicare Standardized Payment Amount | 90800.63 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 901 |
| Number Of Beneficiaries Age 65 to 74 | 1383 |
| Number Of Beneficiaries Age 75 to 84 | 1145 |
| Number Of Beneficiaries Age Greater 84 | 689 |
| Number Of Female Beneficiaries | 2479 |
| Number Of Male Beneficiaries | 1639 |
| Number Of Non Hispanic White Beneficiaries | 3270 |
| Number Of Black or African American Beneficiaries | 762 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 43 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2863 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1255 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6778 |