National Provider Identifier [NPI]: |
1083622211 |
Last Name Of The Provider |
HOPP |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3999 ENGLEWOOD AVE # 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
YAKIMA |
Zip Code Of The Provider |
989026341 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
5480 |
Number Of Medicare Beneficiaries |
1287 |
Total Submitted Charge Amount |
1100788.29 |
Total Medicare Allowed Amount |
638551.26 |
Total Medicare Payment Amount |
460048.89 |
Total Medicare Standardized Payment Amount |
462468.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1213 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
279256.25 |
Total Drug Medicare AllowedAmount |
172557.72 |
Total Drug Medicare PaymentAmount |
134258.16 |
Total Drug Medicare Standardized Payment Amount |
134258.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4267 |
Number Of Medicare Beneficiaries With Medical Services |
1287 |
Total Medical Submitted Charge Amount |
821532.04 |
Total Medical Medicare Allowed Amount |
465993.54 |
Total Medical Medicare Payment Amount |
325790.73 |
Total Medical Medicare Standardized Payment Amount |
328209.93 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
420 |
Number Of Beneficiaries Age Greater 84 |
273 |
Number Of Female Beneficiaries |
814 |
Number Of Male Beneficiaries |
473 |
Number Of Non Hispanic White Beneficiaries |
1051 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
192 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
972 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1255 |