National Provider Identifier [NPI]: |
1598719775 |
Last Name Of The Provider |
IRVIN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6151 S YALE AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741361907 |
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 |
75 |
Number Of Services |
2522 |
Number Of Medicare Beneficiaries |
1642 |
Total Submitted Charge Amount |
389752 |
Total Medicare Allowed Amount |
176529.05 |
Total Medicare Payment Amount |
131146.94 |
Total Medicare Standardized Payment Amount |
139990.93 |
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 |
75 |
Number Of Medical Services |
2522 |
Number Of Medicare Beneficiaries With Medical Services |
1642 |
Total Medical Submitted Charge Amount |
389752 |
Total Medical Medicare Allowed Amount |
176529.05 |
Total Medical Medicare Payment Amount |
131146.94 |
Total Medical Medicare Standardized Payment Amount |
139990.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
290 |
Number Of Beneficiaries Age 65 to 74 |
593 |
Number Of Beneficiaries Age 75 to 84 |
507 |
Number Of Beneficiaries Age Greater 84 |
252 |
Number Of Female Beneficiaries |
863 |
Number Of Male Beneficiaries |
779 |
Number Of Non Hispanic White Beneficiaries |
1354 |
Number Of Black or African American Beneficiaries |
83 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
162 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1301 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
341 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8407 |