National Provider Identifier [NPI]: |
1861429052 |
Last Name Of The Provider |
BARNES |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11000 HEFNER POINTE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731205039 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
12474 |
Number Of Medicare Beneficiaries |
1074 |
Total Submitted Charge Amount |
570689.22 |
Total Medicare Allowed Amount |
549822.28 |
Total Medicare Payment Amount |
412671.55 |
Total Medicare Standardized Payment Amount |
447103.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1130 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
114385.76 |
Total Drug Medicare AllowedAmount |
112852.1 |
Total Drug Medicare PaymentAmount |
87954.79 |
Total Drug Medicare Standardized Payment Amount |
87954.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
11344 |
Number Of Medicare Beneficiaries With Medical Services |
1074 |
Total Medical Submitted Charge Amount |
456303.46 |
Total Medical Medicare Allowed Amount |
436970.18 |
Total Medical Medicare Payment Amount |
324716.76 |
Total Medical Medicare Standardized Payment Amount |
359148.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
460 |
Number Of Beneficiaries Age 75 to 84 |
385 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
262 |
Number Of Male Beneficiaries |
812 |
Number Of Non Hispanic White Beneficiaries |
958 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
35 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
996 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0447 |