National Provider Identifier [NPI]: |
1831385202 |
Last Name Of The Provider |
KOCH |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
211 QUARRY RD |
Street Address 2 Of The Provider |
STE 203 MC5993 |
City Of The Provider |
PALO ALTO |
Zip Code Of The Provider |
943041416 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
7480 |
Number Of Medicare Beneficiaries |
5387 |
Total Submitted Charge Amount |
455801.09 |
Total Medicare Allowed Amount |
121283.15 |
Total Medicare Payment Amount |
92628.67 |
Total Medicare Standardized Payment Amount |
76117.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
29 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
1487.6 |
Total Drug Medicare AllowedAmount |
1487.6 |
Total Drug Medicare PaymentAmount |
1457.76 |
Total Drug Medicare Standardized Payment Amount |
1457.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
7451 |
Number Of Medicare Beneficiaries With Medical Services |
5387 |
Total Medical Submitted Charge Amount |
454313.49 |
Total Medical Medicare Allowed Amount |
119795.55 |
Total Medical Medicare Payment Amount |
91170.91 |
Total Medical Medicare Standardized Payment Amount |
74660.04 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
726 |
Number Of Beneficiaries Age 65 to 74 |
2356 |
Number Of Beneficiaries Age 75 to 84 |
1587 |
Number Of Beneficiaries Age Greater 84 |
718 |
Number Of Female Beneficiaries |
2700 |
Number Of Male Beneficiaries |
2687 |
Number Of Non Hispanic White Beneficiaries |
3729 |
Number Of Black or African American Beneficiaries |
228 |
Number Of AsianPacific Islander Beneficiaries |
706 |
Number Of Hispanic Beneficiaries |
557 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
147 |
Number Of Beneficiaries With Medicare Only Entitlement |
4112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1275 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6253 |