National Provider Identifier [NPI]: |
1427035450 |
Last Name Of The Provider |
COOK |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1701 SUNSET BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770051713 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
4958 |
Number Of Medicare Beneficiaries |
1439 |
Total Submitted Charge Amount |
730691.72 |
Total Medicare Allowed Amount |
369253.15 |
Total Medicare Payment Amount |
274535.65 |
Total Medicare Standardized Payment Amount |
275276.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1006 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
9128.66 |
Total Drug Medicare AllowedAmount |
1454.62 |
Total Drug Medicare PaymentAmount |
1077.4 |
Total Drug Medicare Standardized Payment Amount |
1077.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3952 |
Number Of Medicare Beneficiaries With Medical Services |
1439 |
Total Medical Submitted Charge Amount |
721563.06 |
Total Medical Medicare Allowed Amount |
367798.53 |
Total Medical Medicare Payment Amount |
273458.25 |
Total Medical Medicare Standardized Payment Amount |
274198.71 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
598 |
Number Of Beneficiaries Age 75 to 84 |
553 |
Number Of Beneficiaries Age Greater 84 |
254 |
Number Of Female Beneficiaries |
738 |
Number Of Male Beneficiaries |
701 |
Number Of Non Hispanic White Beneficiaries |
1277 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0062 |