National Provider Identifier [NPI]: |
1407822315 |
Last Name Of The Provider |
WAPLES |
First Name Of The Provider |
ANGELA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
P.A. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8100 S WALKER AVE |
Street Address 2 Of The Provider |
BLDG A |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731399402 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
2267 |
Number Of Medicare Beneficiaries |
426 |
Total Submitted Charge Amount |
277562.5 |
Total Medicare Allowed Amount |
88944.81 |
Total Medicare Payment Amount |
66072 |
Total Medicare Standardized Payment Amount |
75048.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1131 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
97974 |
Total Drug Medicare AllowedAmount |
37232.21 |
Total Drug Medicare PaymentAmount |
28235.45 |
Total Drug Medicare Standardized Payment Amount |
28235.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
1136 |
Number Of Medicare Beneficiaries With Medical Services |
425 |
Total Medical Submitted Charge Amount |
179588.5 |
Total Medical Medicare Allowed Amount |
51712.6 |
Total Medical Medicare Payment Amount |
37836.55 |
Total Medical Medicare Standardized Payment Amount |
46813.5 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
382 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
359 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.091 |