National Provider Identifier [NPI]: |
1740321447 |
Last Name Of The Provider |
THOMPSON |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4205 MCAULEY BLVD |
Street Address 2 Of The Provider |
375 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731209391 |
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 |
76 |
Number Of Services |
13437 |
Number Of Medicare Beneficiaries |
394 |
Total Submitted Charge Amount |
1154602 |
Total Medicare Allowed Amount |
552181.17 |
Total Medicare Payment Amount |
426731.68 |
Total Medicare Standardized Payment Amount |
436060.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
36 |
Number Of Drug Services |
10459 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
874423 |
Total Drug Medicare AllowedAmount |
402888.42 |
Total Drug Medicare PaymentAmount |
313444.09 |
Total Drug Medicare Standardized Payment Amount |
313444.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2978 |
Number Of Medicare Beneficiaries With Medical Services |
394 |
Total Medical Submitted Charge Amount |
280179 |
Total Medical Medicare Allowed Amount |
149292.75 |
Total Medical Medicare Payment Amount |
113287.59 |
Total Medical Medicare Standardized Payment Amount |
122616.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
345 |
Number Of Black or African American Beneficiaries |
29 |
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 |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7947 |