National Provider Identifier [NPI]: |
1952317612 |
Last Name Of The Provider |
KOCH |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1501 NE MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEND |
Zip Code Of The Provider |
977016051 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
246 |
Number Of Services |
144357 |
Number Of Medicare Beneficiaries |
7839 |
Total Submitted Charge Amount |
8018382.3 |
Total Medicare Allowed Amount |
2220886.57 |
Total Medicare Payment Amount |
1732765.82 |
Total Medicare Standardized Payment Amount |
1811500.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
122340 |
Number Of Medicare Beneficiaries With Drug Services |
1299 |
Total Drug Submitted ChargeAmount |
230870.66 |
Total Drug Medicare AllowedAmount |
56161.64 |
Total Drug Medicare PaymentAmount |
43593.81 |
Total Drug Medicare Standardized Payment Amount |
43593.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
233 |
Number Of Medical Services |
22017 |
Number Of Medicare Beneficiaries With Medical Services |
7837 |
Total Medical Submitted Charge Amount |
7787511.64 |
Total Medical Medicare Allowed Amount |
2164724.93 |
Total Medical Medicare Payment Amount |
1689172.01 |
Total Medical Medicare Standardized Payment Amount |
1767906.66 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
785 |
Number Of Beneficiaries Age 65 to 74 |
3959 |
Number Of Beneficiaries Age 75 to 84 |
2173 |
Number Of Beneficiaries Age Greater 84 |
922 |
Number Of Female Beneficiaries |
4679 |
Number Of Male Beneficiaries |
3160 |
Number Of Non Hispanic White Beneficiaries |
7472 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
142 |
Number Of American Indian Alaska Native Beneficiaries |
67 |
Number Of Beneficiaries With Race Not Else where Classified |
93 |
Number Of Beneficiaries With Medicare Only Entitlement |
7018 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
821 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1012 |