National Provider Identifier [NPI]: |
1346351004 |
Last Name Of The Provider |
COLE |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12697 E 51ST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741466236 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
217 |
Number Of Services |
142092 |
Number Of Medicare Beneficiaries |
1207 |
Total Submitted Charge Amount |
4781110 |
Total Medicare Allowed Amount |
1772892.96 |
Total Medicare Payment Amount |
1389340.63 |
Total Medicare Standardized Payment Amount |
1424956.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
87 |
Number Of Drug Services |
132360 |
Number Of Medicare Beneficiaries With Drug Services |
450 |
Total Drug Submitted ChargeAmount |
3260748 |
Total Drug Medicare AllowedAmount |
1245001.36 |
Total Drug Medicare PaymentAmount |
975080.93 |
Total Drug Medicare Standardized Payment Amount |
975080.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
9732 |
Number Of Medicare Beneficiaries With Medical Services |
1206 |
Total Medical Submitted Charge Amount |
1520362 |
Total Medical Medicare Allowed Amount |
527891.6 |
Total Medical Medicare Payment Amount |
414259.7 |
Total Medical Medicare Standardized Payment Amount |
449875.79 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
570 |
Number Of Beneficiaries Age 75 to 84 |
399 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
754 |
Number Of Male Beneficiaries |
453 |
Number Of Non Hispanic White Beneficiaries |
1017 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
108 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1035 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
172 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8501 |