National Provider Identifier [NPI]: |
1912987157 |
Last Name Of The Provider |
KOKINAKOS |
First Name Of The Provider |
CHRISTOS |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15340 JOG RD |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334462170 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
4725 |
Number Of Medicare Beneficiaries |
657 |
Total Submitted Charge Amount |
405672 |
Total Medicare Allowed Amount |
307585.22 |
Total Medicare Payment Amount |
245408.41 |
Total Medicare Standardized Payment Amount |
235324.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
215 |
Number Of Medicare Beneficiaries With Drug Services |
214 |
Total Drug Submitted ChargeAmount |
5374 |
Total Drug Medicare AllowedAmount |
2539.84 |
Total Drug Medicare PaymentAmount |
2487.76 |
Total Drug Medicare Standardized Payment Amount |
2487.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
4510 |
Number Of Medicare Beneficiaries With Medical Services |
657 |
Total Medical Submitted Charge Amount |
400298 |
Total Medical Medicare Allowed Amount |
305045.38 |
Total Medical Medicare Payment Amount |
242920.65 |
Total Medical Medicare Standardized Payment Amount |
232836.63 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
640 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3119 |