National Provider Identifier [NPI]: |
1568472868 |
Last Name Of The Provider |
COCHRAN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3300 HIGH ST |
Street Address 2 Of The Provider |
SUITE 6 |
City Of The Provider |
PORTSMOUTH |
Zip Code Of The Provider |
237073321 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
5830 |
Number Of Medicare Beneficiaries |
522 |
Total Submitted Charge Amount |
194106.82 |
Total Medicare Allowed Amount |
183599.38 |
Total Medicare Payment Amount |
149911.81 |
Total Medicare Standardized Payment Amount |
153679.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
305 |
Number Of Medicare Beneficiaries With Drug Services |
271 |
Total Drug Submitted ChargeAmount |
7887.42 |
Total Drug Medicare AllowedAmount |
7734.87 |
Total Drug Medicare PaymentAmount |
7510.71 |
Total Drug Medicare Standardized Payment Amount |
7510.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
5525 |
Number Of Medicare Beneficiaries With Medical Services |
522 |
Total Medical Submitted Charge Amount |
186219.4 |
Total Medical Medicare Allowed Amount |
175864.51 |
Total Medical Medicare Payment Amount |
142401.1 |
Total Medical Medicare Standardized Payment Amount |
146168.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
392 |
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 |
506 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9582 |