National Provider Identifier [NPI]: |
1871583815 |
Last Name Of The Provider |
HOECK |
First Name Of The Provider |
JEFFERY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4175 N HANSON CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOWIE |
Zip Code Of The Provider |
207163179 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1738 |
Number Of Medicare Beneficiaries |
459 |
Total Submitted Charge Amount |
186425 |
Total Medicare Allowed Amount |
119119.96 |
Total Medicare Payment Amount |
89804.35 |
Total Medicare Standardized Payment Amount |
80441.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
190 |
Number Of Medicare Beneficiaries With Drug Services |
170 |
Total Drug Submitted ChargeAmount |
4900 |
Total Drug Medicare AllowedAmount |
3873.99 |
Total Drug Medicare PaymentAmount |
3780.34 |
Total Drug Medicare Standardized Payment Amount |
3780.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1548 |
Number Of Medicare Beneficiaries With Medical Services |
458 |
Total Medical Submitted Charge Amount |
181525 |
Total Medical Medicare Allowed Amount |
115245.97 |
Total Medical Medicare Payment Amount |
86024.01 |
Total Medical Medicare Standardized Payment Amount |
76661.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
252 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
348 |
Number Of Black or African American Beneficiaries |
93 |
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 |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9718 |