National Provider Identifier [NPI]: |
1801234513 |
Last Name Of The Provider |
COKER |
First Name Of The Provider |
GEOFFREY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
NP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6626 E 75TH ST |
Street Address 2 Of The Provider |
STE 500 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462502805 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
237 |
Number Of Medicare Beneficiaries |
119 |
Total Submitted Charge Amount |
16033 |
Total Medicare Allowed Amount |
8950.35 |
Total Medicare Payment Amount |
5335.41 |
Total Medicare Standardized Payment Amount |
7121.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
32 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
216 |
Total Drug Medicare AllowedAmount |
102.61 |
Total Drug Medicare PaymentAmount |
72.48 |
Total Drug Medicare Standardized Payment Amount |
72.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
205 |
Number Of Medicare Beneficiaries With Medical Services |
119 |
Total Medical Submitted Charge Amount |
15817 |
Total Medical Medicare Allowed Amount |
8847.74 |
Total Medical Medicare Payment Amount |
5262.93 |
Total Medical Medicare Standardized Payment Amount |
7049.36 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
51 |
Number Of Beneficiaries Age 75 to 84 |
17 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
62 |
Number Of Male Beneficiaries |
57 |
Number Of Non Hispanic White Beneficiaries |
95 |
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 |
92 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1767 |