Medicare Facts for Eric Vandoorn, CRNA


National Provider Identifier [NPI]: 1558657254
Last Name Of The Provider VANDOORN
First Name Of The Provider ERIC
Middle Initial Of The Provider
Credentials Of The Provider CRNA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 750 NE 13TH ST
Street Address 2 Of The Provider
City Of The Provider OKLAHOMA CITY
Zip Code Of The Provider 731045010
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 88
Number Of Medicare Beneficiaries 87
Total Submitted Charge Amount 177080
Total Medicare Allowed Amount 19684.86
Total Medicare Payment Amount 15432.92
Total Medicare Standardized Payment Amount 16045.84
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 38
Number Of Medical Services 88
Number Of Medicare Beneficiaries With Medical Services 87
Total Medical Submitted Charge Amount 177080
Total Medical Medicare Allowed Amount 19684.86
Total Medical Medicare Payment Amount 15432.92
Total Medical Medicare Standardized Payment Amount 16045.84
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 40
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 42
Number Of Male Beneficiaries 45
Number Of Non Hispanic White Beneficiaries 76
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 63
Number Of Beneficiaries With Medicare Medicaid Entitlement 24
Percent Of With Atrial Fibrillation 21
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 14
Percent Of With Heart Failure 32
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 26
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 49
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 1.8981

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