National Provider Identifier [NPI]: |
1396969283 |
Last Name Of The Provider |
COTE |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
423 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARSON CITY |
Zip Code Of The Provider |
488119741 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
2037 |
Number Of Medicare Beneficiaries |
318 |
Total Submitted Charge Amount |
423651.01 |
Total Medicare Allowed Amount |
188982.55 |
Total Medicare Payment Amount |
143850.25 |
Total Medicare Standardized Payment Amount |
153723.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
807 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
14399 |
Total Drug Medicare AllowedAmount |
8275.15 |
Total Drug Medicare PaymentAmount |
6467.66 |
Total Drug Medicare Standardized Payment Amount |
6467.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
1230 |
Number Of Medicare Beneficiaries With Medical Services |
317 |
Total Medical Submitted Charge Amount |
409252.01 |
Total Medical Medicare Allowed Amount |
180707.4 |
Total Medical Medicare Payment Amount |
137382.59 |
Total Medical Medicare Standardized Payment Amount |
147255.38 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
304 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
235 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0048 |