National Provider Identifier [NPI]: |
1225222789 |
Last Name Of The Provider |
COWAN-OBERBECK |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
AUD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7777 N WICKHAM RD |
Street Address 2 Of The Provider |
STE 21 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329407976 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Audiologist (billing independently) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
5 |
Number Of Services |
1027 |
Number Of Medicare Beneficiaries |
445 |
Total Submitted Charge Amount |
59385 |
Total Medicare Allowed Amount |
35630.75 |
Total Medicare Payment Amount |
24771.88 |
Total Medicare Standardized Payment Amount |
25014.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
5 |
Number Of Medical Services |
1027 |
Number Of Medicare Beneficiaries With Medical Services |
445 |
Total Medical Submitted Charge Amount |
59385 |
Total Medical Medicare Allowed Amount |
35630.75 |
Total Medical Medicare Payment Amount |
24771.88 |
Total Medical Medicare Standardized Payment Amount |
25014.49 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
259 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
424 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1803 |