National Provider Identifier [NPI]: |
1306891379 |
Last Name Of The Provider |
SKOPEC |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2769 HEARTLAND DR |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
CORALVILLE |
Zip Code Of The Provider |
522412732 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
182 |
Number Of Services |
7714 |
Number Of Medicare Beneficiaries |
2541 |
Total Submitted Charge Amount |
640909.5 |
Total Medicare Allowed Amount |
183540.03 |
Total Medicare Payment Amount |
144200.03 |
Total Medicare Standardized Payment Amount |
156636.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3410 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
4354.5 |
Total Drug Medicare AllowedAmount |
966.2 |
Total Drug Medicare PaymentAmount |
738.06 |
Total Drug Medicare Standardized Payment Amount |
738.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
180 |
Number Of Medical Services |
4304 |
Number Of Medicare Beneficiaries With Medical Services |
2541 |
Total Medical Submitted Charge Amount |
636555 |
Total Medical Medicare Allowed Amount |
182573.83 |
Total Medical Medicare Payment Amount |
143461.97 |
Total Medical Medicare Standardized Payment Amount |
155898.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
1058 |
Number Of Beneficiaries Age 75 to 84 |
806 |
Number Of Beneficiaries Age Greater 84 |
459 |
Number Of Female Beneficiaries |
1697 |
Number Of Male Beneficiaries |
844 |
Number Of Non Hispanic White Beneficiaries |
2463 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0184 |