National Provider Identifier [NPI]: |
1104856467 |
Last Name Of The Provider |
CHAMBERS |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 N LEE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731021036 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
3143 |
Number Of Medicare Beneficiaries |
1283 |
Total Submitted Charge Amount |
480082 |
Total Medicare Allowed Amount |
101345.7 |
Total Medicare Payment Amount |
78314.57 |
Total Medicare Standardized Payment Amount |
61439.39 |
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 |
37 |
Number Of Medical Services |
3143 |
Number Of Medicare Beneficiaries With Medical Services |
1283 |
Total Medical Submitted Charge Amount |
480082 |
Total Medical Medicare Allowed Amount |
101345.7 |
Total Medical Medicare Payment Amount |
78314.57 |
Total Medical Medicare Standardized Payment Amount |
61439.39 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
243 |
Number Of Beneficiaries Age 65 to 74 |
572 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
710 |
Number Of Male Beneficiaries |
573 |
Number Of Non Hispanic White Beneficiaries |
1024 |
Number Of Black or African American Beneficiaries |
138 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
53 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1005 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
278 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6603 |