National Provider Identifier [NPI]: |
1083600605 |
Last Name Of The Provider |
HOOKER |
First Name Of The Provider |
BRYAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
220 J L WHITE DR |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
JASPER |
Zip Code Of The Provider |
301434893 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
9919 |
Number Of Medicare Beneficiaries |
853 |
Total Submitted Charge Amount |
650975 |
Total Medicare Allowed Amount |
287389.44 |
Total Medicare Payment Amount |
199490.75 |
Total Medicare Standardized Payment Amount |
213860.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
4289 |
Number Of Medicare Beneficiaries With Drug Services |
451 |
Total Drug Submitted ChargeAmount |
42715 |
Total Drug Medicare AllowedAmount |
6880.79 |
Total Drug Medicare PaymentAmount |
6104.72 |
Total Drug Medicare Standardized Payment Amount |
6104.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5630 |
Number Of Medicare Beneficiaries With Medical Services |
853 |
Total Medical Submitted Charge Amount |
608260 |
Total Medical Medicare Allowed Amount |
280508.65 |
Total Medical Medicare Payment Amount |
193386.03 |
Total Medical Medicare Standardized Payment Amount |
207756.07 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
268 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
475 |
Number Of Male Beneficiaries |
378 |
Number Of Non Hispanic White Beneficiaries |
830 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
529 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1667 |