National Provider Identifier [NPI]: |
1174577704 |
Last Name Of The Provider |
COCHRAN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8230 WALNUT HILL LN |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752314482 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
19624 |
Number Of Medicare Beneficiaries |
838 |
Total Submitted Charge Amount |
1878142.4 |
Total Medicare Allowed Amount |
951081.22 |
Total Medicare Payment Amount |
735383.72 |
Total Medicare Standardized Payment Amount |
736141.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
12676 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
1079743.4 |
Total Drug Medicare AllowedAmount |
539928.89 |
Total Drug Medicare PaymentAmount |
423067.18 |
Total Drug Medicare Standardized Payment Amount |
423067.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
6948 |
Number Of Medicare Beneficiaries With Medical Services |
838 |
Total Medical Submitted Charge Amount |
798399 |
Total Medical Medicare Allowed Amount |
411152.33 |
Total Medical Medicare Payment Amount |
312316.54 |
Total Medical Medicare Standardized Payment Amount |
313074.26 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
333 |
Number Of Beneficiaries Age 75 to 84 |
332 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
705 |
Number Of Non Hispanic White Beneficiaries |
761 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
820 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0548 |