National Provider Identifier [NPI]: |
1538178561 |
Last Name Of The Provider |
POOPAT |
First Name Of The Provider |
CHAD |
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 |
2020 PALOMINO LANE |
Street Address 2 Of The Provider |
STE # 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064894 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
207 |
Number Of Services |
22004 |
Number Of Medicare Beneficiaries |
3083 |
Total Submitted Charge Amount |
1290435.49 |
Total Medicare Allowed Amount |
305826.45 |
Total Medicare Payment Amount |
235083.07 |
Total Medicare Standardized Payment Amount |
231233.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
17686 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
51683.81 |
Total Drug Medicare AllowedAmount |
3737.88 |
Total Drug Medicare PaymentAmount |
2896.18 |
Total Drug Medicare Standardized Payment Amount |
2896.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
202 |
Number Of Medical Services |
4318 |
Number Of Medicare Beneficiaries With Medical Services |
3082 |
Total Medical Submitted Charge Amount |
1238751.68 |
Total Medical Medicare Allowed Amount |
302088.57 |
Total Medical Medicare Payment Amount |
232186.89 |
Total Medical Medicare Standardized Payment Amount |
228337.22 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
584 |
Number Of Beneficiaries Age 65 to 74 |
1306 |
Number Of Beneficiaries Age 75 to 84 |
858 |
Number Of Beneficiaries Age Greater 84 |
335 |
Number Of Female Beneficiaries |
1837 |
Number Of Male Beneficiaries |
1246 |
Number Of Non Hispanic White Beneficiaries |
2252 |
Number Of Black or African American Beneficiaries |
363 |
Number Of AsianPacific Islander Beneficiaries |
149 |
Number Of Hispanic Beneficiaries |
244 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
60 |
Number Of Beneficiaries With Medicare Only Entitlement |
2341 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
742 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8714 |