National Provider Identifier [NPI]: |
1174795157 |
Last Name Of The Provider |
KOPAS |
First Name Of The Provider |
LISA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6624 FANNIN ST STE 1730 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770302330 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
5880 |
Number Of Medicare Beneficiaries |
1170 |
Total Submitted Charge Amount |
1278527.24 |
Total Medicare Allowed Amount |
475801.9 |
Total Medicare Payment Amount |
365531.74 |
Total Medicare Standardized Payment Amount |
370572.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
4061.24 |
Total Drug Medicare AllowedAmount |
1739.61 |
Total Drug Medicare PaymentAmount |
1665.92 |
Total Drug Medicare Standardized Payment Amount |
1665.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
5713 |
Number Of Medicare Beneficiaries With Medical Services |
1170 |
Total Medical Submitted Charge Amount |
1274466 |
Total Medical Medicare Allowed Amount |
474062.29 |
Total Medical Medicare Payment Amount |
363865.82 |
Total Medical Medicare Standardized Payment Amount |
368906.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
635 |
Number Of Male Beneficiaries |
535 |
Number Of Non Hispanic White Beneficiaries |
801 |
Number Of Black or African American Beneficiaries |
207 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
127 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
959 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.8811 |