National Provider Identifier [NPI]: |
1295760734 |
Last Name Of The Provider |
COCHIOLO |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1867 E FIR AVE |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203808 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
175 |
Number Of Services |
12635 |
Number Of Medicare Beneficiaries |
4193 |
Total Submitted Charge Amount |
1144535.2 |
Total Medicare Allowed Amount |
329557.59 |
Total Medicare Payment Amount |
269556.81 |
Total Medicare Standardized Payment Amount |
260330.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5757 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
7105 |
Total Drug Medicare AllowedAmount |
1567.3 |
Total Drug Medicare PaymentAmount |
1228.44 |
Total Drug Medicare Standardized Payment Amount |
1228.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
169 |
Number Of Medical Services |
6878 |
Number Of Medicare Beneficiaries With Medical Services |
4193 |
Total Medical Submitted Charge Amount |
1137430.2 |
Total Medical Medicare Allowed Amount |
327990.29 |
Total Medical Medicare Payment Amount |
268328.37 |
Total Medical Medicare Standardized Payment Amount |
259102.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
716 |
Number Of Beneficiaries Age 65 to 74 |
1709 |
Number Of Beneficiaries Age 75 to 84 |
1172 |
Number Of Beneficiaries Age Greater 84 |
596 |
Number Of Female Beneficiaries |
2961 |
Number Of Male Beneficiaries |
1232 |
Number Of Non Hispanic White Beneficiaries |
2590 |
Number Of Black or African American Beneficiaries |
260 |
Number Of AsianPacific Islander Beneficiaries |
251 |
Number Of Hispanic Beneficiaries |
980 |
Number Of American Indian Alaska Native Beneficiaries |
45 |
Number Of Beneficiaries With Race Not Else where Classified |
67 |
Number Of Beneficiaries With Medicare Only Entitlement |
2571 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1622 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6627 |