National Provider Identifier [NPI]: |
1215158175 |
Last Name Of The Provider |
COOK |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5651 FRIST BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HERMITAGE |
Zip Code Of The Provider |
370762054 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
3529 |
Number Of Medicare Beneficiaries |
315 |
Total Submitted Charge Amount |
1171909.69 |
Total Medicare Allowed Amount |
209655.36 |
Total Medicare Payment Amount |
159078.6 |
Total Medicare Standardized Payment Amount |
171767.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2011 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
82801.98 |
Total Drug Medicare AllowedAmount |
18552.15 |
Total Drug Medicare PaymentAmount |
14330.94 |
Total Drug Medicare Standardized Payment Amount |
14330.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
1518 |
Number Of Medicare Beneficiaries With Medical Services |
315 |
Total Medical Submitted Charge Amount |
1089107.71 |
Total Medical Medicare Allowed Amount |
191103.21 |
Total Medical Medicare Payment Amount |
144747.66 |
Total Medical Medicare Standardized Payment Amount |
157436.67 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
219 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
288 |
Number Of Black or African American Beneficiaries |
|
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 |
266 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1271 |