National Provider Identifier [NPI]: |
1760534127 |
Last Name Of The Provider |
KURKJIAN |
First Name Of The Provider |
CARLA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 NE 10TH ST |
Street Address 2 Of The Provider |
SUITE 6029 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731045418 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
8237.8 |
Number Of Medicare Beneficiaries |
282 |
Total Submitted Charge Amount |
709128.6 |
Total Medicare Allowed Amount |
267297.46 |
Total Medicare Payment Amount |
207269.39 |
Total Medicare Standardized Payment Amount |
207700.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
51 |
Number Of Drug Services |
7461.8 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
540057.6 |
Total Drug Medicare AllowedAmount |
214340.02 |
Total Drug Medicare PaymentAmount |
167949.64 |
Total Drug Medicare Standardized Payment Amount |
167949.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
776 |
Number Of Medicare Beneficiaries With Medical Services |
282 |
Total Medical Submitted Charge Amount |
169071 |
Total Medical Medicare Allowed Amount |
52957.44 |
Total Medical Medicare Payment Amount |
39319.75 |
Total Medical Medicare Standardized Payment Amount |
39750.81 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
143 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
106 |
Number Of Non Hispanic White Beneficiaries |
232 |
Number Of Black or African American Beneficiaries |
26 |
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 |
226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.0642 |