Medicare Facts for Dr. Lacy N. Crissup, OD


National Provider Identifier [NPI]: 1851521819
Last Name Of The Provider CRISSUP
First Name Of The Provider LACY
Middle Initial Of The Provider N
Credentials Of The Provider O.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 212 E BLUE STARR DR
Street Address 2 Of The Provider
City Of The Provider CLAREMORE
Zip Code Of The Provider 740174223
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 56
Number Of Medicare Beneficiaries 40
Total Submitted Charge Amount 4736
Total Medicare Allowed Amount 4064.06
Total Medicare Payment Amount 2914.69
Total Medicare Standardized Payment Amount 3779.84
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 10
Number Of Medical Services 56
Number Of Medicare Beneficiaries With Medical Services 40
Total Medical Submitted Charge Amount 4736
Total Medical Medicare Allowed Amount 4064.06
Total Medical Medicare Payment Amount 2914.69
Total Medical Medicare Standardized Payment Amount 3779.84
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 20
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 25
Number Of Male Beneficiaries 15
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.4008

Doctor Directory | TOS | twitter | FB | Angel | blog