Medicare Facts for Dr. Ilona D. Samara, MD


National Provider Identifier [NPI]: 1235271719
Last Name Of The Provider SAMARA
First Name Of The Provider ILONA
Middle Initial Of The Provider D
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 201 S SARA RD
Street Address 2 Of The Provider SUITE 200
City Of The Provider MUSTANG
Zip Code Of The Provider 730644303
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 993
Number Of Medicare Beneficiaries 276
Total Submitted Charge Amount 97732.97
Total Medicare Allowed Amount 58389
Total Medicare Payment Amount 39117.5
Total Medicare Standardized Payment Amount 42986.93
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 21
Number Of Medical Services 993
Number Of Medicare Beneficiaries With Medical Services 276
Total Medical Submitted Charge Amount 97732.97
Total Medical Medicare Allowed Amount 58389
Total Medical Medicare Payment Amount 39117.5
Total Medical Medicare Standardized Payment Amount 42986.93
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74 145
Number Of Beneficiaries Age 75 to 84 75
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 190
Number Of Male Beneficiaries 86
Number Of Non Hispanic White Beneficiaries 247
Number Of Black or African American Beneficiaries
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 242
Number Of Beneficiaries With Medicare Medicaid Entitlement 34
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 7
Percent Of With Cancer 10
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 24
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9116

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