National Provider Identifier [NPI]: |
1073511291 |
Last Name Of The Provider |
HOCATE |
First Name Of The Provider |
MELISSA |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
595 CHAPEL HILLS DRIVE |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
80920 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
13558 |
Number Of Medicare Beneficiaries |
208 |
Total Submitted Charge Amount |
333860.85 |
Total Medicare Allowed Amount |
205049.54 |
Total Medicare Payment Amount |
153556.33 |
Total Medicare Standardized Payment Amount |
153325.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
12837 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
209590.6 |
Total Drug Medicare AllowedAmount |
143489.6 |
Total Drug Medicare PaymentAmount |
111231.12 |
Total Drug Medicare Standardized Payment Amount |
111231.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
721 |
Number Of Medicare Beneficiaries With Medical Services |
208 |
Total Medical Submitted Charge Amount |
124270.25 |
Total Medical Medicare Allowed Amount |
61559.94 |
Total Medical Medicare Payment Amount |
42325.21 |
Total Medical Medicare Standardized Payment Amount |
42093.98 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
162 |
Number Of Male Beneficiaries |
46 |
Number Of Non Hispanic White Beneficiaries |
171 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
37 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2393 |