National Provider Identifier [NPI]: |
1881635852 |
Last Name Of The Provider |
REITZ |
First Name Of The Provider |
CRAIG |
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 |
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 |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
30295.6 |
Number Of Medicare Beneficiaries |
512 |
Total Submitted Charge Amount |
1614222 |
Total Medicare Allowed Amount |
658794.53 |
Total Medicare Payment Amount |
510000.85 |
Total Medicare Standardized Payment Amount |
522596.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
40 |
Number Of Drug Services |
25717.6 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1150949 |
Total Drug Medicare AllowedAmount |
434995.97 |
Total Drug Medicare PaymentAmount |
340442.95 |
Total Drug Medicare Standardized Payment Amount |
340442.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
4578 |
Number Of Medicare Beneficiaries With Medical Services |
512 |
Total Medical Submitted Charge Amount |
463273 |
Total Medical Medicare Allowed Amount |
223798.56 |
Total Medical Medicare Payment Amount |
169557.9 |
Total Medical Medicare Standardized Payment Amount |
182153.14 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
474 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
58 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6861 |