National Provider Identifier [NPI]: |
1003951500 |
Last Name Of The Provider |
RYAN |
First Name Of The Provider |
MATTHEW |
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 |
724 24TH AVE NW |
Street Address 2 Of The Provider |
STE 220 |
City Of The Provider |
NORMAN |
Zip Code Of The Provider |
730696218 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1651 |
Number Of Medicare Beneficiaries |
694 |
Total Submitted Charge Amount |
243145 |
Total Medicare Allowed Amount |
148856.57 |
Total Medicare Payment Amount |
108754.06 |
Total Medicare Standardized Payment Amount |
117278.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
450 |
Total Drug Medicare AllowedAmount |
32.93 |
Total Drug Medicare PaymentAmount |
24.15 |
Total Drug Medicare Standardized Payment Amount |
24.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1636 |
Number Of Medicare Beneficiaries With Medical Services |
694 |
Total Medical Submitted Charge Amount |
242695 |
Total Medical Medicare Allowed Amount |
148823.64 |
Total Medical Medicare Payment Amount |
108729.91 |
Total Medical Medicare Standardized Payment Amount |
117254.36 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
429 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
631 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
24 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
545 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
31 |
Average HCC Risk Score Of Beneficiaries |
1.5047 |