National Provider Identifier [NPI]: |
1407826860 |
Last Name Of The Provider |
HAAS |
First Name Of The Provider |
FRANCES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6565 S YALE AVE |
Street Address 2 Of The Provider |
SUITE 312 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741368327 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
1038 |
Number Of Medicare Beneficiaries |
273 |
Total Submitted Charge Amount |
142169 |
Total Medicare Allowed Amount |
74081.85 |
Total Medicare Payment Amount |
50202.19 |
Total Medicare Standardized Payment Amount |
55450.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
3225 |
Total Drug Medicare AllowedAmount |
2041.21 |
Total Drug Medicare PaymentAmount |
1958.83 |
Total Drug Medicare Standardized Payment Amount |
1958.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
874 |
Number Of Medicare Beneficiaries With Medical Services |
273 |
Total Medical Submitted Charge Amount |
138944 |
Total Medical Medicare Allowed Amount |
72040.64 |
Total Medical Medicare Payment Amount |
48243.36 |
Total Medical Medicare Standardized Payment Amount |
53491.76 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
147 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
229 |
Number Of Black or African American Beneficiaries |
20 |
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 |
197 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3523 |