National Provider Identifier [NPI]: |
1306833272 |
Last Name Of The Provider |
SCHIFF |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1908 N 14TH ST |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
PONCA CITY |
Zip Code Of The Provider |
746012014 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
4037 |
Number Of Medicare Beneficiaries |
1068 |
Total Submitted Charge Amount |
800302.7 |
Total Medicare Allowed Amount |
304078.53 |
Total Medicare Payment Amount |
224698.47 |
Total Medicare Standardized Payment Amount |
245972.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
364 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
29484 |
Total Drug Medicare AllowedAmount |
19275.11 |
Total Drug Medicare PaymentAmount |
15085.9 |
Total Drug Medicare Standardized Payment Amount |
15085.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3673 |
Number Of Medicare Beneficiaries With Medical Services |
1068 |
Total Medical Submitted Charge Amount |
770818.7 |
Total Medical Medicare Allowed Amount |
284803.42 |
Total Medical Medicare Payment Amount |
209612.57 |
Total Medical Medicare Standardized Payment Amount |
230886.71 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
389 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
611 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
940 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
84 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
835 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.2911 |