National Provider Identifier [NPI]: |
1285634584 |
Last Name Of The Provider |
COOK |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3651 COLLEGE BLVD |
Street Address 2 Of The Provider |
STE.100B |
City Of The Provider |
LEAWOOD |
Zip Code Of The Provider |
662111904 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
4068 |
Number Of Medicare Beneficiaries |
646 |
Total Submitted Charge Amount |
1831487 |
Total Medicare Allowed Amount |
382669.84 |
Total Medicare Payment Amount |
282497.58 |
Total Medicare Standardized Payment Amount |
301426.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
792 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
65657 |
Total Drug Medicare AllowedAmount |
29528.85 |
Total Drug Medicare PaymentAmount |
22529.02 |
Total Drug Medicare Standardized Payment Amount |
22529.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3276 |
Number Of Medicare Beneficiaries With Medical Services |
646 |
Total Medical Submitted Charge Amount |
1765830 |
Total Medical Medicare Allowed Amount |
353140.99 |
Total Medical Medicare Payment Amount |
259968.56 |
Total Medical Medicare Standardized Payment Amount |
278897.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
402 |
Number Of Male Beneficiaries |
244 |
Number Of Non Hispanic White Beneficiaries |
618 |
Number Of Black or African American Beneficiaries |
13 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9312 |