National Provider Identifier [NPI]: |
1629028733 |
Last Name Of The Provider |
ZOCCHI |
First Name Of The Provider |
KENT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9800 LILE DR |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722056229 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
11728 |
Number Of Medicare Beneficiaries |
1315 |
Total Submitted Charge Amount |
3564130 |
Total Medicare Allowed Amount |
1376597.56 |
Total Medicare Payment Amount |
1040609.72 |
Total Medicare Standardized Payment Amount |
1108196.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3703 |
Number Of Medicare Beneficiaries With Drug Services |
468 |
Total Drug Submitted ChargeAmount |
1246175 |
Total Drug Medicare AllowedAmount |
623502.24 |
Total Drug Medicare PaymentAmount |
484459.55 |
Total Drug Medicare Standardized Payment Amount |
484459.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
8025 |
Number Of Medicare Beneficiaries With Medical Services |
1315 |
Total Medical Submitted Charge Amount |
2317955 |
Total Medical Medicare Allowed Amount |
753095.32 |
Total Medical Medicare Payment Amount |
556150.17 |
Total Medical Medicare Standardized Payment Amount |
623737.33 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
449 |
Number Of Beneficiaries Age 75 to 84 |
457 |
Number Of Beneficiaries Age Greater 84 |
293 |
Number Of Female Beneficiaries |
782 |
Number Of Male Beneficiaries |
533 |
Number Of Non Hispanic White Beneficiaries |
1208 |
Number Of Black or African American Beneficiaries |
91 |
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 |
1125 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.372 |