National Provider Identifier [NPI]: |
1346229820 |
Last Name Of The Provider |
COLE |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 HOLLYWOOD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719017057 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
9963 |
Number Of Medicare Beneficiaries |
1216 |
Total Submitted Charge Amount |
445539.44 |
Total Medicare Allowed Amount |
346388.54 |
Total Medicare Payment Amount |
255989.54 |
Total Medicare Standardized Payment Amount |
261409.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
486 |
Number Of Medicare Beneficiaries With Drug Services |
301 |
Total Drug Submitted ChargeAmount |
15041.31 |
Total Drug Medicare AllowedAmount |
12842.99 |
Total Drug Medicare PaymentAmount |
12261.99 |
Total Drug Medicare Standardized Payment Amount |
12261.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
9477 |
Number Of Medicare Beneficiaries With Medical Services |
1216 |
Total Medical Submitted Charge Amount |
430498.13 |
Total Medical Medicare Allowed Amount |
333545.55 |
Total Medical Medicare Payment Amount |
243727.55 |
Total Medical Medicare Standardized Payment Amount |
249147.83 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
473 |
Number Of Beneficiaries Age 75 to 84 |
401 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
719 |
Number Of Male Beneficiaries |
497 |
Number Of Non Hispanic White Beneficiaries |
1142 |
Number Of Black or African American Beneficiaries |
54 |
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 |
1042 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0171 |