National Provider Identifier [NPI]: |
1861497455 |
Last Name Of The Provider |
HOPPER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6 ALLEN PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
OXFORD |
Zip Code Of The Provider |
362031944 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
10547 |
Number Of Medicare Beneficiaries |
711 |
Total Submitted Charge Amount |
352261 |
Total Medicare Allowed Amount |
217995.01 |
Total Medicare Payment Amount |
155745.26 |
Total Medicare Standardized Payment Amount |
170567.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
3906 |
Number Of Medicare Beneficiaries With Drug Services |
533 |
Total Drug Submitted ChargeAmount |
57647 |
Total Drug Medicare AllowedAmount |
14043.61 |
Total Drug Medicare PaymentAmount |
10984.2 |
Total Drug Medicare Standardized Payment Amount |
10984.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
6641 |
Number Of Medicare Beneficiaries With Medical Services |
711 |
Total Medical Submitted Charge Amount |
294614 |
Total Medical Medicare Allowed Amount |
203951.4 |
Total Medical Medicare Payment Amount |
144761.06 |
Total Medical Medicare Standardized Payment Amount |
159583.49 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
372 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
669 |
Number Of Black or African American Beneficiaries |
30 |
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 |
676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8981 |