National Provider Identifier [NPI]: |
1720282478 |
Last Name Of The Provider |
CRAWLEY |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8100 S. WALKER AVENUE |
Street Address 2 Of The Provider |
BUILDING A |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731399404 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
7536 |
Number Of Medicare Beneficiaries |
882 |
Total Submitted Charge Amount |
1629393 |
Total Medicare Allowed Amount |
411242.31 |
Total Medicare Payment Amount |
315153.11 |
Total Medicare Standardized Payment Amount |
346073.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4521 |
Number Of Medicare Beneficiaries With Drug Services |
351 |
Total Drug Submitted ChargeAmount |
38205 |
Total Drug Medicare AllowedAmount |
14734.47 |
Total Drug Medicare PaymentAmount |
11330.99 |
Total Drug Medicare Standardized Payment Amount |
11330.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
134 |
Number Of Medical Services |
3015 |
Number Of Medicare Beneficiaries With Medical Services |
881 |
Total Medical Submitted Charge Amount |
1591188 |
Total Medical Medicare Allowed Amount |
396507.84 |
Total Medical Medicare Payment Amount |
303822.12 |
Total Medical Medicare Standardized Payment Amount |
334742.38 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
358 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
577 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
759 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
86 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
568 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2927 |