| National Provider Identifier [NPI]: | 1225022585 |
| Last Name Of The Provider | CORN |
| First Name Of The Provider | CAROLYN |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4050 W MEMORIAL RD |
| Street Address 2 Of The Provider | THIRD FLOOR |
| City Of The Provider | OKLAHOMA CITY |
| Zip Code Of The Provider | 731208382 |
| 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 | 15 |
| Number Of Services | 12172 |
| Number Of Medicare Beneficiaries | 3119 |
| Total Submitted Charge Amount | 3609175 |
| Total Medicare Allowed Amount | 1047177.11 |
| Total Medicare Payment Amount | 793272.3 |
| Total Medicare Standardized Payment Amount | 866739.92 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2916 |
| Number Of Medicare Beneficiaries With Drug Services | 731 |
| Total Drug Submitted ChargeAmount | 582480 |
| Total Drug Medicare AllowedAmount | 154240.29 |
| Total Drug Medicare PaymentAmount | 118904 |
| Total Drug Medicare Standardized Payment Amount | 118904 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 13 |
| Number Of Medical Services | 9256 |
| Number Of Medicare Beneficiaries With Medical Services | 3119 |
| Total Medical Submitted Charge Amount | 3026695 |
| Total Medical Medicare Allowed Amount | 892936.82 |
| Total Medical Medicare Payment Amount | 674368.3 |
| Total Medical Medicare Standardized Payment Amount | 747835.92 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 279 |
| Number Of Beneficiaries Age 65 to 74 | 1428 |
| Number Of Beneficiaries Age 75 to 84 | 1155 |
| Number Of Beneficiaries Age Greater 84 | 257 |
| Number Of Female Beneficiaries | 1466 |
| Number Of Male Beneficiaries | 1653 |
| Number Of Non Hispanic White Beneficiaries | 2823 |
| Number Of Black or African American Beneficiaries | 89 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | 152 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2769 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 350 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0616 |