National Provider Identifier [NPI]: |
1487618146 |
Last Name Of The Provider |
HOKE |
First Name Of The Provider |
MARY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
P.A.-C. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4225 ALTAMONT PL |
Street Address 2 Of The Provider |
UNIT 3 / 3RD FLOOR |
City Of The Provider |
WHITE PLAINS |
Zip Code Of The Provider |
206953063 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3287 |
Number Of Medicare Beneficiaries |
685 |
Total Submitted Charge Amount |
254152 |
Total Medicare Allowed Amount |
162693.77 |
Total Medicare Payment Amount |
118559.39 |
Total Medicare Standardized Payment Amount |
134327.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
125 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
5512 |
Total Drug Medicare AllowedAmount |
5196.09 |
Total Drug Medicare PaymentAmount |
3660.25 |
Total Drug Medicare Standardized Payment Amount |
3660.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
3162 |
Number Of Medicare Beneficiaries With Medical Services |
685 |
Total Medical Submitted Charge Amount |
248640 |
Total Medical Medicare Allowed Amount |
157497.68 |
Total Medical Medicare Payment Amount |
114899.14 |
Total Medical Medicare Standardized Payment Amount |
130666.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
297 |
Number Of Non Hispanic White Beneficiaries |
610 |
Number Of Black or African American Beneficiaries |
56 |
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 |
643 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9391 |