National Provider Identifier [NPI]: |
1386793156 |
Last Name Of The Provider |
CHOHAN |
First Name Of The Provider |
ASIM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8121 NATIONAL AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
MIDWEST CITY |
Zip Code Of The Provider |
731107530 |
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 |
97 |
Number Of Services |
10970 |
Number Of Medicare Beneficiaries |
1778 |
Total Submitted Charge Amount |
2507716.48 |
Total Medicare Allowed Amount |
1188903.63 |
Total Medicare Payment Amount |
886356.34 |
Total Medicare Standardized Payment Amount |
972067.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1006 |
Number Of Medicare Beneficiaries With Drug Services |
253 |
Total Drug Submitted ChargeAmount |
103175.36 |
Total Drug Medicare AllowedAmount |
53274.65 |
Total Drug Medicare PaymentAmount |
41244.92 |
Total Drug Medicare Standardized Payment Amount |
41244.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
9964 |
Number Of Medicare Beneficiaries With Medical Services |
1778 |
Total Medical Submitted Charge Amount |
2404541.12 |
Total Medical Medicare Allowed Amount |
1135628.98 |
Total Medical Medicare Payment Amount |
845111.42 |
Total Medical Medicare Standardized Payment Amount |
930822.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
763 |
Number Of Beneficiaries Age 75 to 84 |
586 |
Number Of Beneficiaries Age Greater 84 |
241 |
Number Of Female Beneficiaries |
994 |
Number Of Male Beneficiaries |
784 |
Number Of Non Hispanic White Beneficiaries |
1553 |
Number Of Black or African American Beneficiaries |
112 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
57 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1516 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
262 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4394 |