National Provider Identifier [NPI]: |
1942297304 |
Last Name Of The Provider |
LYONS |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4111 S DARLINGTON AVE |
Street Address 2 Of The Provider |
STE 700 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741356348 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
245 |
Number Of Services |
4843 |
Number Of Medicare Beneficiaries |
2910 |
Total Submitted Charge Amount |
474698.25 |
Total Medicare Allowed Amount |
162043.08 |
Total Medicare Payment Amount |
127764.05 |
Total Medicare Standardized Payment Amount |
134553.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
245 |
Number Of Medical Services |
4843 |
Number Of Medicare Beneficiaries With Medical Services |
2910 |
Total Medical Submitted Charge Amount |
474698.25 |
Total Medical Medicare Allowed Amount |
162043.08 |
Total Medical Medicare Payment Amount |
127764.05 |
Total Medical Medicare Standardized Payment Amount |
134553.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
499 |
Number Of Beneficiaries Age 65 to 74 |
1224 |
Number Of Beneficiaries Age 75 to 84 |
797 |
Number Of Beneficiaries Age Greater 84 |
390 |
Number Of Female Beneficiaries |
2007 |
Number Of Male Beneficiaries |
903 |
Number Of Non Hispanic White Beneficiaries |
2464 |
Number Of Black or African American Beneficiaries |
146 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
225 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
558 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6705 |