National Provider Identifier [NPI]: |
1598062341 |
Last Name Of The Provider |
COLE |
First Name Of The Provider |
RANDOLPH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
176 VALLEY ST NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ABINGDON |
Zip Code Of The Provider |
242102836 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
7515 |
Number Of Medicare Beneficiaries |
781 |
Total Submitted Charge Amount |
288557 |
Total Medicare Allowed Amount |
157488.37 |
Total Medicare Payment Amount |
112089.61 |
Total Medicare Standardized Payment Amount |
111497.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
250 |
Total Drug Medicare AllowedAmount |
132.55 |
Total Drug Medicare PaymentAmount |
94.84 |
Total Drug Medicare Standardized Payment Amount |
94.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
7492 |
Number Of Medicare Beneficiaries With Medical Services |
781 |
Total Medical Submitted Charge Amount |
288307 |
Total Medical Medicare Allowed Amount |
157355.82 |
Total Medical Medicare Payment Amount |
111994.77 |
Total Medical Medicare Standardized Payment Amount |
111402.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
488 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
765 |
Number Of Black or African American Beneficiaries |
|
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 |
644 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9762 |