National Provider Identifier [NPI]: |
1750389334 |
Last Name Of The Provider |
ROPER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6327 N FRESNO ST |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937105236 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3091 |
Number Of Medicare Beneficiaries |
1085 |
Total Submitted Charge Amount |
910136.31 |
Total Medicare Allowed Amount |
420625.99 |
Total Medicare Payment Amount |
323703.51 |
Total Medicare Standardized Payment Amount |
316910.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3091 |
Number Of Medicare Beneficiaries With Medical Services |
1085 |
Total Medical Submitted Charge Amount |
910136.31 |
Total Medical Medicare Allowed Amount |
420625.99 |
Total Medical Medicare Payment Amount |
323703.51 |
Total Medical Medicare Standardized Payment Amount |
316910.29 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
436 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
564 |
Number Of Male Beneficiaries |
521 |
Number Of Non Hispanic White Beneficiaries |
762 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
55 |
Number Of Hispanic Beneficiaries |
211 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
800 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
285 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8835 |