National Provider Identifier [NPI]: |
1457557936 |
Last Name Of The Provider |
WEST |
First Name Of The Provider |
LILLIAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1125 N PORTER |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
NORMAN |
Zip Code Of The Provider |
730716446 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2073 |
Number Of Medicare Beneficiaries |
392 |
Total Submitted Charge Amount |
216776 |
Total Medicare Allowed Amount |
126906.06 |
Total Medicare Payment Amount |
88260.92 |
Total Medicare Standardized Payment Amount |
97219.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
312 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
17978 |
Total Drug Medicare AllowedAmount |
12188.87 |
Total Drug Medicare PaymentAmount |
11587.75 |
Total Drug Medicare Standardized Payment Amount |
11587.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1761 |
Number Of Medicare Beneficiaries With Medical Services |
392 |
Total Medical Submitted Charge Amount |
198798 |
Total Medical Medicare Allowed Amount |
114717.19 |
Total Medical Medicare Payment Amount |
76673.17 |
Total Medical Medicare Standardized Payment Amount |
85631.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
100 |
Number Of Non Hispanic White Beneficiaries |
340 |
Number Of Black or African American Beneficiaries |
32 |
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 |
299 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2094 |