National Provider Identifier [NPI]: |
1184658718 |
Last Name Of The Provider |
ZOPO |
First Name Of The Provider |
ALEX |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11195 S JOG RD |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334371829 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
7945 |
Number Of Medicare Beneficiaries |
990 |
Total Submitted Charge Amount |
516993.5 |
Total Medicare Allowed Amount |
397180.97 |
Total Medicare Payment Amount |
305935.85 |
Total Medicare Standardized Payment Amount |
294661.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
382 |
Number Of Medicare Beneficiaries With Drug Services |
274 |
Total Drug Submitted ChargeAmount |
10945 |
Total Drug Medicare AllowedAmount |
6155.99 |
Total Drug Medicare PaymentAmount |
5983.29 |
Total Drug Medicare Standardized Payment Amount |
5983.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
7563 |
Number Of Medicare Beneficiaries With Medical Services |
990 |
Total Medical Submitted Charge Amount |
506048.5 |
Total Medical Medicare Allowed Amount |
391024.98 |
Total Medical Medicare Payment Amount |
299952.56 |
Total Medical Medicare Standardized Payment Amount |
288678.16 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
451 |
Number Of Beneficiaries Age 75 to 84 |
359 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
537 |
Number Of Male Beneficiaries |
453 |
Number Of Non Hispanic White Beneficiaries |
916 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
955 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0694 |