National Provider Identifier [NPI]: |
1801883863 |
Last Name Of The Provider |
KERNS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4050 W MEMORIAL RD |
Street Address 2 Of The Provider |
THIRD FLOOR |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731208382 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
4490 |
Number Of Medicare Beneficiaries |
2042 |
Total Submitted Charge Amount |
663204 |
Total Medicare Allowed Amount |
252584.56 |
Total Medicare Payment Amount |
180330.93 |
Total Medicare Standardized Payment Amount |
195047.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
4490 |
Number Of Medicare Beneficiaries With Medical Services |
2042 |
Total Medical Submitted Charge Amount |
663204 |
Total Medical Medicare Allowed Amount |
252584.56 |
Total Medical Medicare Payment Amount |
180330.93 |
Total Medical Medicare Standardized Payment Amount |
195047.29 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
757 |
Number Of Beneficiaries Age 75 to 84 |
742 |
Number Of Beneficiaries Age Greater 84 |
395 |
Number Of Female Beneficiaries |
1062 |
Number Of Male Beneficiaries |
980 |
Number Of Non Hispanic White Beneficiaries |
1853 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
39 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1883 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3553 |