National Provider Identifier [NPI]: |
1720169501 |
Last Name Of The Provider |
COOK |
First Name Of The Provider |
KENNETH |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 MEDICAL CENTER DRIVE |
Street Address 2 Of The Provider |
SUITE 208-C DR. KENNETH C COOK, M.D., PSC |
City Of The Provider |
PADUCAH |
Zip Code Of The Provider |
42003 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3804 |
Number Of Medicare Beneficiaries |
705 |
Total Submitted Charge Amount |
311236.48 |
Total Medicare Allowed Amount |
264443.55 |
Total Medicare Payment Amount |
175435.24 |
Total Medicare Standardized Payment Amount |
185808.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
297 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
8932 |
Total Drug Medicare AllowedAmount |
2388.7 |
Total Drug Medicare PaymentAmount |
2145.55 |
Total Drug Medicare Standardized Payment Amount |
2145.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3507 |
Number Of Medicare Beneficiaries With Medical Services |
705 |
Total Medical Submitted Charge Amount |
302304.48 |
Total Medical Medicare Allowed Amount |
262054.85 |
Total Medical Medicare Payment Amount |
173289.69 |
Total Medical Medicare Standardized Payment Amount |
183662.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
364 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
329 |
Number Of Male Beneficiaries |
376 |
Number Of Non Hispanic White Beneficiaries |
667 |
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 |
661 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8998 |