National Provider Identifier [NPI]: |
1922099860 |
Last Name Of The Provider |
ROWLAND |
First Name Of The Provider |
TEDDY |
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 |
1201 E JACKSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUGO |
Zip Code Of The Provider |
747434229 |
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 |
137 |
Number Of Services |
15362 |
Number Of Medicare Beneficiaries |
1046 |
Total Submitted Charge Amount |
948649.42 |
Total Medicare Allowed Amount |
445115.88 |
Total Medicare Payment Amount |
352362.82 |
Total Medicare Standardized Payment Amount |
381663.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
24 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
417.5 |
Total Drug Medicare AllowedAmount |
263.35 |
Total Drug Medicare PaymentAmount |
240.43 |
Total Drug Medicare Standardized Payment Amount |
240.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
15338 |
Number Of Medicare Beneficiaries With Medical Services |
1046 |
Total Medical Submitted Charge Amount |
948231.92 |
Total Medical Medicare Allowed Amount |
444852.53 |
Total Medical Medicare Payment Amount |
352122.39 |
Total Medical Medicare Standardized Payment Amount |
381423.5 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
319 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
557 |
Number Of Male Beneficiaries |
489 |
Number Of Non Hispanic White Beneficiaries |
833 |
Number Of Black or African American Beneficiaries |
112 |
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 |
541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
505 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3873 |