National Provider Identifier [NPI]: |
1285602037 |
Last Name Of The Provider |
MCMEEKIN |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
825 NE 10TH ST |
Street Address 2 Of The Provider |
OUPB5200 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731045417 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gynecological/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
61250.8 |
Number Of Medicare Beneficiaries |
429 |
Total Submitted Charge Amount |
3052660 |
Total Medicare Allowed Amount |
1114067.66 |
Total Medicare Payment Amount |
860876.58 |
Total Medicare Standardized Payment Amount |
860936.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
58819.8 |
Number Of Medicare Beneficiaries With Drug Services |
266 |
Total Drug Submitted ChargeAmount |
2454212 |
Total Drug Medicare AllowedAmount |
977484.09 |
Total Drug Medicare PaymentAmount |
756925.84 |
Total Drug Medicare Standardized Payment Amount |
756925.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2431 |
Number Of Medicare Beneficiaries With Medical Services |
428 |
Total Medical Submitted Charge Amount |
598448 |
Total Medical Medicare Allowed Amount |
136583.57 |
Total Medical Medicare Payment Amount |
103950.74 |
Total Medical Medicare Standardized Payment Amount |
104010.52 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
338 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
361 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
326 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
2.0064 |