National Provider Identifier [NPI]: |
1629020078 |
Last Name Of The Provider |
HOKE |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 MARKET ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHARLESTOWN |
Zip Code Of The Provider |
471119535 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
5920 |
Number Of Medicare Beneficiaries |
1029 |
Total Submitted Charge Amount |
487773 |
Total Medicare Allowed Amount |
367786.12 |
Total Medicare Payment Amount |
280990 |
Total Medicare Standardized Payment Amount |
244273.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
120 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
4285 |
Total Drug Medicare AllowedAmount |
2565.51 |
Total Drug Medicare PaymentAmount |
2489.58 |
Total Drug Medicare Standardized Payment Amount |
2489.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5800 |
Number Of Medicare Beneficiaries With Medical Services |
1029 |
Total Medical Submitted Charge Amount |
483488 |
Total Medical Medicare Allowed Amount |
365220.61 |
Total Medical Medicare Payment Amount |
278500.42 |
Total Medical Medicare Standardized Payment Amount |
241784.19 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
261 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
976 |
Number Of Black or African American Beneficiaries |
34 |
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 |
510 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
519 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
60 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
33 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.913 |