National Provider Identifier [NPI]: |
1295937928 |
Last Name Of The Provider |
KOSKO |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3688 VETERANS MEMORIAL DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394018246 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
164 |
Number Of Services |
2583 |
Number Of Medicare Beneficiaries |
742 |
Total Submitted Charge Amount |
935165.75 |
Total Medicare Allowed Amount |
257174.76 |
Total Medicare Payment Amount |
192019.17 |
Total Medicare Standardized Payment Amount |
214464.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
3151 |
Total Drug Medicare AllowedAmount |
732.25 |
Total Drug Medicare PaymentAmount |
569.28 |
Total Drug Medicare Standardized Payment Amount |
569.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
161 |
Number Of Medical Services |
2545 |
Number Of Medicare Beneficiaries With Medical Services |
742 |
Total Medical Submitted Charge Amount |
932014.75 |
Total Medical Medicare Allowed Amount |
256442.51 |
Total Medical Medicare Payment Amount |
191449.89 |
Total Medical Medicare Standardized Payment Amount |
213894.75 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
345 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
639 |
Number Of Black or African American Beneficiaries |
92 |
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 |
580 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0144 |