National Provider Identifier [NPI]: |
1033163100 |
Last Name Of The Provider |
MUCHMORE |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3433 NW 56TH ST |
Street Address 2 Of The Provider |
SUITE 710 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731124455 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
723 |
Number Of Medicare Beneficiaries |
334 |
Total Submitted Charge Amount |
88195 |
Total Medicare Allowed Amount |
46745.01 |
Total Medicare Payment Amount |
33014.53 |
Total Medicare Standardized Payment Amount |
36813.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
2900 |
Total Drug Medicare AllowedAmount |
2239.04 |
Total Drug Medicare PaymentAmount |
2180.31 |
Total Drug Medicare Standardized Payment Amount |
2180.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
660 |
Number Of Medicare Beneficiaries With Medical Services |
334 |
Total Medical Submitted Charge Amount |
85295 |
Total Medical Medicare Allowed Amount |
44505.97 |
Total Medical Medicare Payment Amount |
30834.22 |
Total Medical Medicare Standardized Payment Amount |
34633.26 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
297 |
Number Of Black or African American Beneficiaries |
19 |
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 |
293 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5399 |