National Provider Identifier [NPI]: |
1962407932 |
Last Name Of The Provider |
PULS |
First Name Of The Provider |
ALAN |
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 |
3433 NW 56TH ST |
Street Address 2 Of The Provider |
STE 400 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731124430 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
9271 |
Number Of Medicare Beneficiaries |
2405 |
Total Submitted Charge Amount |
1514059.18 |
Total Medicare Allowed Amount |
520065.99 |
Total Medicare Payment Amount |
390760.44 |
Total Medicare Standardized Payment Amount |
418245.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
166 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
13446 |
Total Drug Medicare AllowedAmount |
8783.65 |
Total Drug Medicare PaymentAmount |
6761.52 |
Total Drug Medicare Standardized Payment Amount |
6761.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
9105 |
Number Of Medicare Beneficiaries With Medical Services |
2405 |
Total Medical Submitted Charge Amount |
1500613.18 |
Total Medical Medicare Allowed Amount |
511282.34 |
Total Medical Medicare Payment Amount |
383998.92 |
Total Medical Medicare Standardized Payment Amount |
411483.51 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
289 |
Number Of Beneficiaries Age 65 to 74 |
917 |
Number Of Beneficiaries Age 75 to 84 |
829 |
Number Of Beneficiaries Age Greater 84 |
370 |
Number Of Female Beneficiaries |
1276 |
Number Of Male Beneficiaries |
1129 |
Number Of Non Hispanic White Beneficiaries |
2146 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
81 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
2014 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
391 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6483 |