National Provider Identifier [NPI]: |
1992796312 |
Last Name Of The Provider |
STREIGHT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1120 S UTICA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741044012 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
160 |
Number Of Services |
6457 |
Number Of Medicare Beneficiaries |
3355 |
Total Submitted Charge Amount |
532362 |
Total Medicare Allowed Amount |
147958.63 |
Total Medicare Payment Amount |
114684.45 |
Total Medicare Standardized Payment Amount |
121884.96 |
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 |
160 |
Number Of Medical Services |
6457 |
Number Of Medicare Beneficiaries With Medical Services |
3355 |
Total Medical Submitted Charge Amount |
532362 |
Total Medical Medicare Allowed Amount |
147958.63 |
Total Medical Medicare Payment Amount |
114684.45 |
Total Medical Medicare Standardized Payment Amount |
121884.96 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
791 |
Number Of Beneficiaries Age 65 to 74 |
1470 |
Number Of Beneficiaries Age 75 to 84 |
786 |
Number Of Beneficiaries Age Greater 84 |
308 |
Number Of Female Beneficiaries |
2411 |
Number Of Male Beneficiaries |
944 |
Number Of Non Hispanic White Beneficiaries |
2486 |
Number Of Black or African American Beneficiaries |
421 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
356 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
2270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1085 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4748 |