Medicare Facts for Christina D. Cook


National Provider Identifier [NPI]: 1477511004
Last Name Of The Provider COOK
First Name Of The Provider CHRISTINA
Middle Initial Of The Provider
Credentials Of The Provider LCSW
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2500 RIKE DRIVE
Street Address 2 Of The Provider
City Of The Provider PINE BLUFF
Zip Code Of The Provider 71603
State Code Of The Provider AR
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 200
Number Of Medicare Beneficiaries 65
Total Submitted Charge Amount 21454.5
Total Medicare Allowed Amount 10351.68
Total Medicare Payment Amount 6180.73
Total Medicare Standardized Payment Amount 6492.91
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 6
Number Of Medical Services 200
Number Of Medicare Beneficiaries With Medical Services 65
Total Medical Submitted Charge Amount 21454.5
Total Medical Medicare Allowed Amount 10351.68
Total Medical Medicare Payment Amount 6180.73
Total Medical Medicare Standardized Payment Amount 6492.91
Average Age Of Beneficiaries 54
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 31
Number Of Male Beneficiaries 34
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 36
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 13
Number Of Beneficiaries With Medicare Medicaid Entitlement 52
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 49
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 35
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 17
Percent Of With Schizophrenia Other PsychoticDisorders 55
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1376

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