National Provider Identifier [NPI]: |
1891786737 |
Last Name Of The Provider |
LEADER |
First Name Of The Provider |
BETH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
603 NE 2ND ST |
Street Address 2 Of The Provider |
ROWLAND FLATT CLINIC |
City Of The Provider |
ANTLERS |
Zip Code Of The Provider |
745232636 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
6190 |
Number Of Medicare Beneficiaries |
541 |
Total Submitted Charge Amount |
379979.15 |
Total Medicare Allowed Amount |
217162.82 |
Total Medicare Payment Amount |
159913.75 |
Total Medicare Standardized Payment Amount |
172434.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
853.75 |
Total Drug Medicare AllowedAmount |
672.63 |
Total Drug Medicare PaymentAmount |
653.48 |
Total Drug Medicare Standardized Payment Amount |
653.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
6142 |
Number Of Medicare Beneficiaries With Medical Services |
540 |
Total Medical Submitted Charge Amount |
379125.4 |
Total Medical Medicare Allowed Amount |
216490.19 |
Total Medical Medicare Payment Amount |
159260.27 |
Total Medical Medicare Standardized Payment Amount |
171781.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
133 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
468 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
53 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
272 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2946 |