National Provider Identifier [NPI]: |
1871576488 |
Last Name Of The Provider |
HAWKINS |
First Name Of The Provider |
BRYAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6585 S YALE AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741368384 |
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 |
128 |
Number Of Services |
2840 |
Number Of Medicare Beneficiaries |
415 |
Total Submitted Charge Amount |
381971.22 |
Total Medicare Allowed Amount |
208822.34 |
Total Medicare Payment Amount |
156466.99 |
Total Medicare Standardized Payment Amount |
171907.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
658 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
15520 |
Total Drug Medicare AllowedAmount |
6597.89 |
Total Drug Medicare PaymentAmount |
5105.29 |
Total Drug Medicare Standardized Payment Amount |
5105.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
2182 |
Number Of Medicare Beneficiaries With Medical Services |
415 |
Total Medical Submitted Charge Amount |
366451.22 |
Total Medical Medicare Allowed Amount |
202224.45 |
Total Medical Medicare Payment Amount |
151361.7 |
Total Medical Medicare Standardized Payment Amount |
166801.88 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
299 |
Number Of Male Beneficiaries |
116 |
Number Of Non Hispanic White Beneficiaries |
371 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0674 |