Medicare Facts for Dr. Toby P. Cole, MD


National Provider Identifier [NPI]: 1417998089
Last Name Of The Provider COLE
First Name Of The Provider TOBY
Middle Initial Of The Provider C
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 222 ASHELAND AVE
Street Address 2 Of The Provider
City Of The Provider ASHEVILLE
Zip Code Of The Provider 288014016
State Code Of The Provider NC
Country Code Of The Provider US
Provider Type Of The Provider Interventional Radiology
Medicare Participation Indicator Y
Number Of HCPCS 229
Number Of Services 5793
Number Of Medicare Beneficiaries 1142
Total Submitted Charge Amount 1152282.49
Total Medicare Allowed Amount 349512.99
Total Medicare Payment Amount 269856.46
Total Medicare Standardized Payment Amount 287555.43
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 3680
Number Of Medicare Beneficiaries With Drug Services 56
Total Drug Submitted ChargeAmount 1350.49
Total Drug Medicare AllowedAmount 552.02
Total Drug Medicare PaymentAmount 432.76
Total Drug Medicare Standardized Payment Amount 432.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 227
Number Of Medical Services 2113
Number Of Medicare Beneficiaries With Medical Services 1141
Total Medical Submitted Charge Amount 1150932
Total Medical Medicare Allowed Amount 348960.97
Total Medical Medicare Payment Amount 269423.7
Total Medical Medicare Standardized Payment Amount 287122.67
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 242
Number Of Beneficiaries Age 65 to 74 404
Number Of Beneficiaries Age 75 to 84 341
Number Of Beneficiaries Age Greater 84 155
Number Of Female Beneficiaries 623
Number Of Male Beneficiaries 519
Number Of Non Hispanic White Beneficiaries 1028
Number Of Black or African American Beneficiaries 71
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 23
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 763
Number Of Beneficiaries With Medicare Medicaid Entitlement 379
Percent Of With Atrial Fibrillation 21
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 13
Percent Of With Cancer 19
Percent Of With Heart Failure 38
Percent Of With Chronic Kidney Disease 45
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 38
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 46
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 2.2657

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