National Provider Identifier [NPI]: |
1851313373 |
Last Name Of The Provider |
SAINT |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 WEST BOISE CIRCLE |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
BROKEN ARROW |
Zip Code Of The Provider |
740124900 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
1380 |
Number Of Medicare Beneficiaries |
416 |
Total Submitted Charge Amount |
795283.14 |
Total Medicare Allowed Amount |
175711.28 |
Total Medicare Payment Amount |
131161.02 |
Total Medicare Standardized Payment Amount |
143824.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
181 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
78470.28 |
Total Drug Medicare AllowedAmount |
20358.24 |
Total Drug Medicare PaymentAmount |
15848.46 |
Total Drug Medicare Standardized Payment Amount |
15848.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
1199 |
Number Of Medicare Beneficiaries With Medical Services |
416 |
Total Medical Submitted Charge Amount |
716812.86 |
Total Medical Medicare Allowed Amount |
155353.04 |
Total Medical Medicare Payment Amount |
115312.56 |
Total Medical Medicare Standardized Payment Amount |
127975.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
106 |
Number Of Male Beneficiaries |
310 |
Number Of Non Hispanic White Beneficiaries |
352 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
38 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
369 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3021 |