National Provider Identifier [NPI]: |
1689658601 |
Last Name Of The Provider |
MALUF |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2222 W IOWA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICKASHA |
Zip Code Of The Provider |
730182738 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
215 |
Number Of Services |
18635 |
Number Of Medicare Beneficiaries |
1408 |
Total Submitted Charge Amount |
1142073.49 |
Total Medicare Allowed Amount |
465251.46 |
Total Medicare Payment Amount |
363226.32 |
Total Medicare Standardized Payment Amount |
391481.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
1387 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
7885.49 |
Total Drug Medicare AllowedAmount |
4083.31 |
Total Drug Medicare PaymentAmount |
3631.19 |
Total Drug Medicare Standardized Payment Amount |
3631.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
193 |
Number Of Medical Services |
17248 |
Number Of Medicare Beneficiaries With Medical Services |
1408 |
Total Medical Submitted Charge Amount |
1134188 |
Total Medical Medicare Allowed Amount |
461168.15 |
Total Medical Medicare Payment Amount |
359595.13 |
Total Medical Medicare Standardized Payment Amount |
387850.62 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
590 |
Number Of Beneficiaries Age 75 to 84 |
437 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
893 |
Number Of Male Beneficiaries |
515 |
Number Of Non Hispanic White Beneficiaries |
1219 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
90 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1079 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
329 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1754 |