National Provider Identifier [NPI]: |
1467436212 |
Last Name Of The Provider |
KOKA |
First Name Of The Provider |
VIJAYA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2111 SW 20TH PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344717734 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5492 |
Number Of Medicare Beneficiaries |
1206 |
Total Submitted Charge Amount |
1114925.12 |
Total Medicare Allowed Amount |
518785.75 |
Total Medicare Payment Amount |
394492.44 |
Total Medicare Standardized Payment Amount |
399337.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
376 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
39840 |
Total Drug Medicare AllowedAmount |
19906.9 |
Total Drug Medicare PaymentAmount |
15599.86 |
Total Drug Medicare Standardized Payment Amount |
15599.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
5116 |
Number Of Medicare Beneficiaries With Medical Services |
1206 |
Total Medical Submitted Charge Amount |
1075085.12 |
Total Medical Medicare Allowed Amount |
498878.85 |
Total Medical Medicare Payment Amount |
378892.58 |
Total Medical Medicare Standardized Payment Amount |
383737.7 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
428 |
Number Of Beneficiaries Age 75 to 84 |
483 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
586 |
Number Of Male Beneficiaries |
620 |
Number Of Non Hispanic White Beneficiaries |
1067 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1047 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6905 |