National Provider Identifier [NPI]: |
1841274321 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 S MONROE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENID |
Zip Code Of The Provider |
737017211 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
189 |
Number Of Services |
6890 |
Number Of Medicare Beneficiaries |
3014 |
Total Submitted Charge Amount |
672330.3 |
Total Medicare Allowed Amount |
200179.17 |
Total Medicare Payment Amount |
147502.74 |
Total Medicare Standardized Payment Amount |
156429.84 |
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 |
189 |
Number Of Medical Services |
6890 |
Number Of Medicare Beneficiaries With Medical Services |
3014 |
Total Medical Submitted Charge Amount |
672330.3 |
Total Medical Medicare Allowed Amount |
200179.17 |
Total Medical Medicare Payment Amount |
147502.74 |
Total Medical Medicare Standardized Payment Amount |
156429.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
572 |
Number Of Beneficiaries Age 65 to 74 |
1144 |
Number Of Beneficiaries Age 75 to 84 |
914 |
Number Of Beneficiaries Age Greater 84 |
384 |
Number Of Female Beneficiaries |
1827 |
Number Of Male Beneficiaries |
1187 |
Number Of Non Hispanic White Beneficiaries |
2786 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
56 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2312 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
702 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3113 |