| National Provider Identifier [NPI]: | 1356388342 |
| Last Name Of The Provider | CASSIDY |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6151 S YALE AVE |
| Street Address 2 Of The Provider | SUITE 400 |
| City Of The Provider | TULSA |
| Zip Code Of The Provider | 741361907 |
| 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 | 53 |
| Number Of Services | 8663 |
| Number Of Medicare Beneficiaries | 4784 |
| Total Submitted Charge Amount | 616367 |
| Total Medicare Allowed Amount | 256496.16 |
| Total Medicare Payment Amount | 187372.62 |
| Total Medicare Standardized Payment Amount | 195455.97 |
| 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 | 53 |
| Number Of Medical Services | 8663 |
| Number Of Medicare Beneficiaries With Medical Services | 4784 |
| Total Medical Submitted Charge Amount | 616367 |
| Total Medical Medicare Allowed Amount | 256496.16 |
| Total Medical Medicare Payment Amount | 187372.62 |
| Total Medical Medicare Standardized Payment Amount | 195455.97 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 935 |
| Number Of Beneficiaries Age 65 to 74 | 1698 |
| Number Of Beneficiaries Age 75 to 84 | 1396 |
| Number Of Beneficiaries Age Greater 84 | 755 |
| Number Of Female Beneficiaries | 2559 |
| Number Of Male Beneficiaries | 2225 |
| Number Of Non Hispanic White Beneficiaries | 3927 |
| Number Of Black or African American Beneficiaries | 295 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 65 |
| Number Of American Indian Alaska Native Beneficiaries | 443 |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3654 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1130 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8492 |