Medicare Facts for Michael A. Cook


National Provider Identifier [NPI]: 1669522553
Last Name Of The Provider COOK
First Name Of The Provider MICHAEL
Middle Initial Of The Provider D
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 265 LAGUNA AVE
Street Address 2 Of The Provider
City Of The Provider LAGUNA BEACH
Zip Code Of The Provider 926512119
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 257
Number Of Medicare Beneficiaries 126
Total Submitted Charge Amount 22645
Total Medicare Allowed Amount 16953.78
Total Medicare Payment Amount 10963.03
Total Medicare Standardized Payment Amount 9920.18
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 14
Number Of Medical Services 257
Number Of Medicare Beneficiaries With Medical Services 126
Total Medical Submitted Charge Amount 22645
Total Medical Medicare Allowed Amount 16953.78
Total Medical Medicare Payment Amount 10963.03
Total Medical Medicare Standardized Payment Amount 9920.18
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 71
Number Of Beneficiaries Age 75 to 84 38
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 67
Number Of Male Beneficiaries 59
Number Of Non Hispanic White Beneficiaries
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 126
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 13
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 10
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 13
Percent Of With Diabetes 16
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 51
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8707

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