Medicare Facts for Dr. Mark J. Kropf, MD


National Provider Identifier [NPI]: 1104820018
Last Name Of The Provider KROPF
First Name Of The Provider MARK
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 BELLE TERRE ROAD
Street Address 2 Of The Provider SUITE 100
City Of The Provider PORT JEFFERSON
Zip Code Of The Provider 117771928
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 44
Number Of Services 1360
Number Of Medicare Beneficiaries 219
Total Submitted Charge Amount 228559
Total Medicare Allowed Amount 127870.51
Total Medicare Payment Amount 95783.44
Total Medicare Standardized Payment Amount 86121.43
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 146
Number Of Medicare Beneficiaries With Drug Services 103
Total Drug Submitted ChargeAmount 12250
Total Drug Medicare AllowedAmount 6170.91
Total Drug Medicare PaymentAmount 6041.72
Total Drug Medicare Standardized Payment Amount 6041.72
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 33
Number Of Medical Services 1214
Number Of Medicare Beneficiaries With Medical Services 219
Total Medical Submitted Charge Amount 216309
Total Medical Medicare Allowed Amount 121699.6
Total Medical Medicare Payment Amount 89741.72
Total Medical Medicare Standardized Payment Amount 80079.71
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 48
Number Of Beneficiaries Age 65 to 74 87
Number Of Beneficiaries Age 75 to 84 56
Number Of Beneficiaries Age Greater 84 28
Number Of Female Beneficiaries 132
Number Of Male Beneficiaries 87
Number Of Non Hispanic White Beneficiaries 191
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 169
Number Of Beneficiaries With Medicare Medicaid Entitlement 50
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 10
Percent Of With Cancer 9
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 26
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2878

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