Medicare Facts for Earl Cornwell, CNS


National Provider Identifier [NPI]: 1841484193
Last Name Of The Provider CORNWELL
First Name Of The Provider EARL
Middle Initial Of The Provider
Credentials Of The Provider CNS
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3300 NW EXPRESSWAY
Street Address 2 Of The Provider
City Of The Provider OKLAHOMA CITY
Zip Code Of The Provider 731124418
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Certified Clinical Nurse Specialist
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 100
Number Of Medicare Beneficiaries 44
Total Submitted Charge Amount 37063
Total Medicare Allowed Amount 13364.84
Total Medicare Payment Amount 10399.68
Total Medicare Standardized Payment Amount 12903.52
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 10
Number Of Medical Services 100
Number Of Medicare Beneficiaries With Medical Services 44
Total Medical Submitted Charge Amount 37063
Total Medical Medicare Allowed Amount 13364.84
Total Medical Medicare Payment Amount 10399.68
Total Medical Medicare Standardized Payment Amount 12903.52
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 24
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 17
Number Of Male Beneficiaries 27
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 30
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 75
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 59
Percent Of With Depression 55
Percent Of With Diabetes 61
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.864

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