National Provider Identifier [NPI]: |
1871676908 |
Last Name Of The Provider |
HOUK |
First Name Of The Provider |
JOHN |
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 |
1329 LUSITANA ST |
Street Address 2 Of The Provider |
#308 |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968132411 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
1646 |
Number Of Medicare Beneficiaries |
365 |
Total Submitted Charge Amount |
152939.23 |
Total Medicare Allowed Amount |
123396.66 |
Total Medicare Payment Amount |
89767.48 |
Total Medicare Standardized Payment Amount |
84617.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
131 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
3555.15 |
Total Drug Medicare AllowedAmount |
1713.82 |
Total Drug Medicare PaymentAmount |
1675.71 |
Total Drug Medicare Standardized Payment Amount |
1675.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
1515 |
Number Of Medicare Beneficiaries With Medical Services |
365 |
Total Medical Submitted Charge Amount |
149384.08 |
Total Medical Medicare Allowed Amount |
121682.84 |
Total Medical Medicare Payment Amount |
88091.77 |
Total Medical Medicare Standardized Payment Amount |
82941.35 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
167 |
Number Of Non Hispanic White Beneficiaries |
177 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
146 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9543 |