National Provider Identifier [NPI]: |
1003040528 |
Last Name Of The Provider |
OAKES |
First Name Of The Provider |
CARMEN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
ARNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6565 S YALE AVE |
Street Address 2 Of The Provider |
SUITE 312 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741368327 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1544 |
Number Of Medicare Beneficiaries |
496 |
Total Submitted Charge Amount |
221446 |
Total Medicare Allowed Amount |
97495.05 |
Total Medicare Payment Amount |
71510.64 |
Total Medicare Standardized Payment Amount |
91658.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
142 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
1701 |
Total Drug Medicare AllowedAmount |
621.61 |
Total Drug Medicare PaymentAmount |
563.09 |
Total Drug Medicare Standardized Payment Amount |
563.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1402 |
Number Of Medicare Beneficiaries With Medical Services |
495 |
Total Medical Submitted Charge Amount |
219745 |
Total Medical Medicare Allowed Amount |
96873.44 |
Total Medical Medicare Payment Amount |
70947.55 |
Total Medical Medicare Standardized Payment Amount |
91095.42 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
324 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
426 |
Number Of Black or African American Beneficiaries |
40 |
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 |
378 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6166 |