National Provider Identifier [NPI]: |
1225292360 |
Last Name Of The Provider |
PAPPOU |
First Name Of The Provider |
IOANNIS |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13020 N TELECOM PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
TEMPLE TERRACE |
Zip Code Of The Provider |
336370925 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
1677 |
Number Of Medicare Beneficiaries |
182 |
Total Submitted Charge Amount |
599298.5 |
Total Medicare Allowed Amount |
117448.15 |
Total Medicare Payment Amount |
89526.29 |
Total Medicare Standardized Payment Amount |
88441.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
609 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
6300.2 |
Total Drug Medicare AllowedAmount |
2457.99 |
Total Drug Medicare PaymentAmount |
1908.96 |
Total Drug Medicare Standardized Payment Amount |
1908.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
1068 |
Number Of Medicare Beneficiaries With Medical Services |
182 |
Total Medical Submitted Charge Amount |
592998.3 |
Total Medical Medicare Allowed Amount |
114990.16 |
Total Medical Medicare Payment Amount |
87617.33 |
Total Medical Medicare Standardized Payment Amount |
86532.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
55 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
115 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
163 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
146 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4741 |