National Provider Identifier [NPI]: |
1518967561 |
Last Name Of The Provider |
HARDAGE |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6475 S YALE AVE |
Street Address 2 Of The Provider |
STE. 301 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741367816 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
3661 |
Number Of Medicare Beneficiaries |
493 |
Total Submitted Charge Amount |
616871.2 |
Total Medicare Allowed Amount |
222988.43 |
Total Medicare Payment Amount |
166084.1 |
Total Medicare Standardized Payment Amount |
177845.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
678 |
Number Of Medicare Beneficiaries With Drug Services |
213 |
Total Drug Submitted ChargeAmount |
114027.2 |
Total Drug Medicare AllowedAmount |
43811.88 |
Total Drug Medicare PaymentAmount |
33655.12 |
Total Drug Medicare Standardized Payment Amount |
33655.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2983 |
Number Of Medicare Beneficiaries With Medical Services |
493 |
Total Medical Submitted Charge Amount |
502844 |
Total Medical Medicare Allowed Amount |
179176.55 |
Total Medical Medicare Payment Amount |
132428.98 |
Total Medical Medicare Standardized Payment Amount |
144190.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
315 |
Number Of Male Beneficiaries |
178 |
Number Of Non Hispanic White Beneficiaries |
430 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
453 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9829 |