Medicare Facts for Lisa Hollis-Fina


National Provider Identifier [NPI]: 1811078140
Last Name Of The Provider HOLLIS-FINA
First Name Of The Provider LISA
Middle Initial Of The Provider
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4045 NW 64TH ST
Street Address 2 Of The Provider SUITE 520
City Of The Provider OKLAHOMA CITY
Zip Code Of The Provider 731161684
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 3
Number Of Services 481
Number Of Medicare Beneficiaries 25
Total Submitted Charge Amount 31355
Total Medicare Allowed Amount 22655.1
Total Medicare Payment Amount 17174.95
Total Medicare Standardized Payment Amount 17650.46
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 3
Number Of Medical Services 481
Number Of Medicare Beneficiaries With Medical Services 25
Total Medical Submitted Charge Amount 31355
Total Medical Medicare Allowed Amount 22655.1
Total Medical Medicare Payment Amount 17174.95
Total Medical Medicare Standardized Payment Amount 17650.46
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
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
Percent Of With Alzheimers Disease or Dementia 52
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 75
Percent Of With Diabetes 60
Percent Of With Hyperlipidemia
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 60
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.6002

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