National Provider Identifier [NPI]: |
1821050618 |
Last Name Of The Provider |
MOCEK |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9101 KANIS ROAD |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
72205 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
15809 |
Number Of Medicare Beneficiaries |
719 |
Total Submitted Charge Amount |
2084808.13 |
Total Medicare Allowed Amount |
790263.32 |
Total Medicare Payment Amount |
593338.84 |
Total Medicare Standardized Payment Amount |
629346.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
7001 |
Number Of Medicare Beneficiaries With Drug Services |
344 |
Total Drug Submitted ChargeAmount |
56372.85 |
Total Drug Medicare AllowedAmount |
3412.62 |
Total Drug Medicare PaymentAmount |
2598.19 |
Total Drug Medicare Standardized Payment Amount |
2598.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
8808 |
Number Of Medicare Beneficiaries With Medical Services |
719 |
Total Medical Submitted Charge Amount |
2028435.28 |
Total Medical Medicare Allowed Amount |
786850.7 |
Total Medical Medicare Payment Amount |
590740.65 |
Total Medical Medicare Standardized Payment Amount |
626748.07 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
319 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
457 |
Number Of Male Beneficiaries |
262 |
Number Of Non Hispanic White Beneficiaries |
644 |
Number Of Black or African American Beneficiaries |
63 |
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 |
605 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1204 |