National Provider Identifier [NPI]: |
1932161338 |
Last Name Of The Provider |
COCKRELL |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15215 SHADY GROVE RD |
Street Address 2 Of The Provider |
SUITE 306 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503235 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
4940 |
Number Of Medicare Beneficiaries |
1988 |
Total Submitted Charge Amount |
925554.68 |
Total Medicare Allowed Amount |
340523.1 |
Total Medicare Payment Amount |
252513.22 |
Total Medicare Standardized Payment Amount |
226558.05 |
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 |
77 |
Number Of Medical Services |
4940 |
Number Of Medicare Beneficiaries With Medical Services |
1988 |
Total Medical Submitted Charge Amount |
925554.68 |
Total Medical Medicare Allowed Amount |
340523.1 |
Total Medical Medicare Payment Amount |
252513.22 |
Total Medical Medicare Standardized Payment Amount |
226558.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
290 |
Number Of Beneficiaries Age 65 to 74 |
678 |
Number Of Beneficiaries Age 75 to 84 |
632 |
Number Of Beneficiaries Age Greater 84 |
388 |
Number Of Female Beneficiaries |
1011 |
Number Of Male Beneficiaries |
977 |
Number Of Non Hispanic White Beneficiaries |
842 |
Number Of Black or African American Beneficiaries |
794 |
Number Of AsianPacific Islander Beneficiaries |
138 |
Number Of Hispanic Beneficiaries |
166 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
48 |
Number Of Beneficiaries With Medicare Only Entitlement |
1383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
605 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0489 |