National Provider Identifier [NPI]: |
1487793311 |
Last Name Of The Provider |
CLOWERS |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3400 W TECUMSEH RD STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORMAN |
Zip Code Of The Provider |
730721810 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
1543 |
Number Of Medicare Beneficiaries |
307 |
Total Submitted Charge Amount |
392400.32 |
Total Medicare Allowed Amount |
164476.3 |
Total Medicare Payment Amount |
123510.55 |
Total Medicare Standardized Payment Amount |
138131.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
662.5 |
Total Drug Medicare AllowedAmount |
223.71 |
Total Drug Medicare PaymentAmount |
134.02 |
Total Drug Medicare Standardized Payment Amount |
134.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
143 |
Number Of Medical Services |
1531 |
Number Of Medicare Beneficiaries With Medical Services |
307 |
Total Medical Submitted Charge Amount |
391737.82 |
Total Medical Medicare Allowed Amount |
164252.59 |
Total Medical Medicare Payment Amount |
123376.53 |
Total Medical Medicare Standardized Payment Amount |
137997.56 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
268 |
Number Of Black or African American Beneficiaries |
16 |
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 |
238 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2203 |