| 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 |