National Provider Identifier [NPI]: |
1194724120 |
Last Name Of The Provider |
HOOKER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12200 WARWICK BLVD |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
236012344 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
1524 |
Number Of Medicare Beneficiaries |
497 |
Total Submitted Charge Amount |
489064 |
Total Medicare Allowed Amount |
221668.47 |
Total Medicare Payment Amount |
160027.67 |
Total Medicare Standardized Payment Amount |
173617.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
4420 |
Total Drug Medicare AllowedAmount |
1971.12 |
Total Drug Medicare PaymentAmount |
951.73 |
Total Drug Medicare Standardized Payment Amount |
951.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
1426 |
Number Of Medicare Beneficiaries With Medical Services |
497 |
Total Medical Submitted Charge Amount |
484644 |
Total Medical Medicare Allowed Amount |
219697.35 |
Total Medical Medicare Payment Amount |
159075.94 |
Total Medical Medicare Standardized Payment Amount |
172665.49 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
316 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
330 |
Number Of Black or African American Beneficiaries |
148 |
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 |
395 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2209 |