National Provider Identifier [NPI]: |
1154320901 |
Last Name Of The Provider |
ABSHERE |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6600 S YALE AVE |
Street Address 2 Of The Provider |
STE 1400 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741363310 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
2866 |
Number Of Medicare Beneficiaries |
917 |
Total Submitted Charge Amount |
253159 |
Total Medicare Allowed Amount |
122707.35 |
Total Medicare Payment Amount |
83191.9 |
Total Medicare Standardized Payment Amount |
91705.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
1123 |
Number Of Medicare Beneficiaries With Drug Services |
241 |
Total Drug Submitted ChargeAmount |
12912 |
Total Drug Medicare AllowedAmount |
1707 |
Total Drug Medicare PaymentAmount |
1341.61 |
Total Drug Medicare Standardized Payment Amount |
1341.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
1743 |
Number Of Medicare Beneficiaries With Medical Services |
915 |
Total Medical Submitted Charge Amount |
240247 |
Total Medical Medicare Allowed Amount |
121000.35 |
Total Medical Medicare Payment Amount |
81850.29 |
Total Medical Medicare Standardized Payment Amount |
90363.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
358 |
Number Of Beneficiaries Age 75 to 84 |
278 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
553 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
801 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
37 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
822 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1338 |