National Provider Identifier [NPI]: |
1972541357 |
Last Name Of The Provider |
KOCS |
First Name Of The Provider |
DARREN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2410 ROUND ROCK AVE |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
ROUND ROCK |
Zip Code Of The Provider |
786814003 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
208 |
Number Of Services |
472262 |
Number Of Medicare Beneficiaries |
930 |
Total Submitted Charge Amount |
20331276 |
Total Medicare Allowed Amount |
5580195.07 |
Total Medicare Payment Amount |
4360535.42 |
Total Medicare Standardized Payment Amount |
4359628.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
95 |
Number Of Drug Services |
436213 |
Number Of Medicare Beneficiaries With Drug Services |
384 |
Total Drug Submitted ChargeAmount |
14513018 |
Total Drug Medicare AllowedAmount |
4177875.74 |
Total Drug Medicare PaymentAmount |
3251989.93 |
Total Drug Medicare Standardized Payment Amount |
3251989.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
36049 |
Number Of Medicare Beneficiaries With Medical Services |
930 |
Total Medical Submitted Charge Amount |
5818258 |
Total Medical Medicare Allowed Amount |
1402319.33 |
Total Medical Medicare Payment Amount |
1108545.49 |
Total Medical Medicare Standardized Payment Amount |
1107638.79 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
448 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
506 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
774 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
860 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.645 |