National Provider Identifier [NPI]: |
1457321341 |
Last Name Of The Provider |
NEMEC |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9228 S MINGO RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741335718 |
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 |
20 |
Number Of Services |
2576 |
Number Of Medicare Beneficiaries |
1176 |
Total Submitted Charge Amount |
465238.5 |
Total Medicare Allowed Amount |
110254.12 |
Total Medicare Payment Amount |
80045.63 |
Total Medicare Standardized Payment Amount |
85472.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
20 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
4260 |
Total Drug Medicare AllowedAmount |
1060.58 |
Total Drug Medicare PaymentAmount |
831.47 |
Total Drug Medicare Standardized Payment Amount |
831.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
2556 |
Number Of Medicare Beneficiaries With Medical Services |
1176 |
Total Medical Submitted Charge Amount |
460978.5 |
Total Medical Medicare Allowed Amount |
109193.54 |
Total Medical Medicare Payment Amount |
79214.16 |
Total Medical Medicare Standardized Payment Amount |
84641.41 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
251 |
Number Of Beneficiaries Age 65 to 74 |
496 |
Number Of Beneficiaries Age 75 to 84 |
346 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
604 |
Number Of Male Beneficiaries |
572 |
Number Of Non Hispanic White Beneficiaries |
902 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
148 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
822 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
354 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6358 |