National Provider Identifier [NPI]: |
1225149990 |
Last Name Of The Provider |
ALLCOCK |
First Name Of The Provider |
DARREN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15 DOCTORS' PARK |
Street Address 2 Of The Provider |
SOUTHEAST ENDOCRINOLOGY |
City Of The Provider |
CAPE GIRARDEAU |
Zip Code Of The Provider |
63703 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
1830 |
Number Of Medicare Beneficiaries |
649 |
Total Submitted Charge Amount |
222811 |
Total Medicare Allowed Amount |
144700.68 |
Total Medicare Payment Amount |
102255.6 |
Total Medicare Standardized Payment Amount |
111661.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
1075 |
Total Drug Medicare AllowedAmount |
773.14 |
Total Drug Medicare PaymentAmount |
757.66 |
Total Drug Medicare Standardized Payment Amount |
757.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
1787 |
Number Of Medicare Beneficiaries With Medical Services |
649 |
Total Medical Submitted Charge Amount |
221736 |
Total Medical Medicare Allowed Amount |
143927.54 |
Total Medical Medicare Payment Amount |
101497.94 |
Total Medical Medicare Standardized Payment Amount |
110903.45 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
385 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
597 |
Number Of Black or African American Beneficiaries |
|
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 |
458 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
71 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4616 |