National Provider Identifier [NPI]: |
1306064944 |
Last Name Of The Provider |
COOK |
First Name Of The Provider |
SHAROLYN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6151 S YALE AVE |
Street Address 2 Of The Provider |
SUITE A-100 |
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 |
91 |
Number Of Services |
1855 |
Number Of Medicare Beneficiaries |
1214 |
Total Submitted Charge Amount |
339232 |
Total Medicare Allowed Amount |
155557.04 |
Total Medicare Payment Amount |
113246.8 |
Total Medicare Standardized Payment Amount |
121202.09 |
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 |
91 |
Number Of Medical Services |
1855 |
Number Of Medicare Beneficiaries With Medical Services |
1214 |
Total Medical Submitted Charge Amount |
339232 |
Total Medical Medicare Allowed Amount |
155557.04 |
Total Medical Medicare Payment Amount |
113246.8 |
Total Medical Medicare Standardized Payment Amount |
121202.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
437 |
Number Of Beneficiaries Age 75 to 84 |
370 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
649 |
Number Of Male Beneficiaries |
565 |
Number Of Non Hispanic White Beneficiaries |
988 |
Number Of Black or African American Beneficiaries |
81 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
114 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
958 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
256 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8881 |