Medicare Facts for Dr. Justine C. Dautenhahn, MD


National Provider Identifier [NPI]: 1790766582
Last Name Of The Provider DAUTENHAHN
First Name Of The Provider JUSTINE
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1125 N PORTER AVE
Street Address 2 Of The Provider SUITE 100
City Of The Provider NORMAN
Zip Code Of The Provider 730716443
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 145
Number Of Services 4070
Number Of Medicare Beneficiaries 2525
Total Submitted Charge Amount 459203
Total Medicare Allowed Amount 116225.08
Total Medicare Payment Amount 85152.41
Total Medicare Standardized Payment Amount 90739.82
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 145
Number Of Medical Services 4070
Number Of Medicare Beneficiaries With Medical Services 2525
Total Medical Submitted Charge Amount 459203
Total Medical Medicare Allowed Amount 116225.08
Total Medical Medicare Payment Amount 85152.41
Total Medical Medicare Standardized Payment Amount 90739.82
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 649
Number Of Beneficiaries Age 65 to 74 866
Number Of Beneficiaries Age 75 to 84 681
Number Of Beneficiaries Age Greater 84 329
Number Of Female Beneficiaries 1564
Number Of Male Beneficiaries 961
Number Of Non Hispanic White Beneficiaries 1953
Number Of Black or African American Beneficiaries 170
Number Of AsianPacific Islander Beneficiaries 53
Number Of Hispanic Beneficiaries 181
Number Of American Indian Alaska Native Beneficiaries 141
Number Of Beneficiaries With Race Not Else where Classified 27
Number Of Beneficiaries With Medicare Only Entitlement 1590
Number Of Beneficiaries With Medicare Medicaid Entitlement 935
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 10
Percent Of With Cancer 15
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 37
Percent Of With Depression 36
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 56
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 13
Average HCC Risk Score Of Beneficiaries 1.7782

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