National Provider Identifier [NPI]: |
1407899875 |
Last Name Of The Provider |
COCHRAN |
First Name Of The Provider |
RONALD |
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 |
1918 WEST LOOP |
Street Address 2 Of The Provider |
|
City Of The Provider |
EL CAMPO |
Zip Code Of The Provider |
77437 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
23459 |
Number Of Medicare Beneficiaries |
1524 |
Total Submitted Charge Amount |
662422.38 |
Total Medicare Allowed Amount |
622304.04 |
Total Medicare Payment Amount |
438587.03 |
Total Medicare Standardized Payment Amount |
453657.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1178 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
1727.38 |
Total Drug Medicare AllowedAmount |
1688.56 |
Total Drug Medicare PaymentAmount |
1179.31 |
Total Drug Medicare Standardized Payment Amount |
1179.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
22281 |
Number Of Medicare Beneficiaries With Medical Services |
1524 |
Total Medical Submitted Charge Amount |
660695 |
Total Medical Medicare Allowed Amount |
620615.48 |
Total Medical Medicare Payment Amount |
437407.72 |
Total Medical Medicare Standardized Payment Amount |
452478.61 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
630 |
Number Of Beneficiaries Age 75 to 84 |
604 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
734 |
Number Of Male Beneficiaries |
790 |
Number Of Non Hispanic White Beneficiaries |
1448 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1426 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9476 |