Medicare Facts for Dr. Enrique S. Koh, MD


National Provider Identifier [NPI]: 1184629552
Last Name Of The Provider KOH
First Name Of The Provider ENRIQUE
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1100 W HIGH ST
Street Address 2 Of The Provider
City Of The Provider EBENSBURG
Zip Code Of The Provider 159311706
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 39
Number Of Services 826
Number Of Medicare Beneficiaries 159
Total Submitted Charge Amount 76035
Total Medicare Allowed Amount 57660.49
Total Medicare Payment Amount 40561.18
Total Medicare Standardized Payment Amount 42465.76
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 112
Number Of Medicare Beneficiaries With Drug Services 81
Total Drug Submitted ChargeAmount 4836
Total Drug Medicare AllowedAmount 3545.72
Total Drug Medicare PaymentAmount 3447.5
Total Drug Medicare Standardized Payment Amount 3447.5
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 32
Number Of Medical Services 714
Number Of Medicare Beneficiaries With Medical Services 159
Total Medical Submitted Charge Amount 71199
Total Medical Medicare Allowed Amount 54114.77
Total Medical Medicare Payment Amount 37113.68
Total Medical Medicare Standardized Payment Amount 39018.26
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 39
Number Of Beneficiaries Age 65 to 74 57
Number Of Beneficiaries Age 75 to 84 33
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 81
Number Of Male Beneficiaries 78
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 110
Number Of Beneficiaries With Medicare Medicaid Entitlement 49
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma
Percent Of With Cancer 9
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 18
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2563

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