National Provider Identifier [NPI]: |
1326028663 |
Last Name Of The Provider |
HAMAKER |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3613 NW 56TH ST. |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
OKC |
Zip Code Of The Provider |
73112 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2405 |
Number Of Medicare Beneficiaries |
489 |
Total Submitted Charge Amount |
183454.56 |
Total Medicare Allowed Amount |
129639.3 |
Total Medicare Payment Amount |
86392.58 |
Total Medicare Standardized Payment Amount |
94990.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
339 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
7814 |
Total Drug Medicare AllowedAmount |
6132.57 |
Total Drug Medicare PaymentAmount |
5588.42 |
Total Drug Medicare Standardized Payment Amount |
5588.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2066 |
Number Of Medicare Beneficiaries With Medical Services |
489 |
Total Medical Submitted Charge Amount |
175640.56 |
Total Medical Medicare Allowed Amount |
123506.73 |
Total Medical Medicare Payment Amount |
80804.16 |
Total Medical Medicare Standardized Payment Amount |
89401.95 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
294 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
435 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3471 |