National Provider Identifier [NPI]: |
1932196839 |
Last Name Of The Provider |
VANZANT |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4200 W MEMORIAL RD STE 410 |
Street Address 2 Of The Provider |
|
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731208305 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
4769 |
Number Of Medicare Beneficiaries |
832 |
Total Submitted Charge Amount |
1313658 |
Total Medicare Allowed Amount |
450416.68 |
Total Medicare Payment Amount |
332487.4 |
Total Medicare Standardized Payment Amount |
367198.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1032 |
Number Of Medicare Beneficiaries With Drug Services |
257 |
Total Drug Submitted ChargeAmount |
206400 |
Total Drug Medicare AllowedAmount |
54619.86 |
Total Drug Medicare PaymentAmount |
42058.5 |
Total Drug Medicare Standardized Payment Amount |
42058.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3737 |
Number Of Medicare Beneficiaries With Medical Services |
832 |
Total Medical Submitted Charge Amount |
1107258 |
Total Medical Medicare Allowed Amount |
395796.82 |
Total Medical Medicare Payment Amount |
290428.9 |
Total Medical Medicare Standardized Payment Amount |
325139.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
412 |
Number Of Non Hispanic White Beneficiaries |
770 |
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 |
29 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
734 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.394 |