National Provider Identifier [NPI]: |
1861535908 |
Last Name Of The Provider |
ZACHARIAS |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1701 RENAISSANCE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EDMOND |
Zip Code Of The Provider |
730133086 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
56748 |
Number Of Medicare Beneficiaries |
572 |
Total Submitted Charge Amount |
3885279.04 |
Total Medicare Allowed Amount |
1827809.57 |
Total Medicare Payment Amount |
1318193.44 |
Total Medicare Standardized Payment Amount |
1334882.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
28 |
Number Of Drug Services |
49204 |
Number Of Medicare Beneficiaries With Drug Services |
308 |
Total Drug Submitted ChargeAmount |
3251576.04 |
Total Drug Medicare AllowedAmount |
1577681.34 |
Total Drug Medicare PaymentAmount |
1126972.3 |
Total Drug Medicare Standardized Payment Amount |
1126972.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
7544 |
Number Of Medicare Beneficiaries With Medical Services |
572 |
Total Medical Submitted Charge Amount |
633703 |
Total Medical Medicare Allowed Amount |
250128.23 |
Total Medical Medicare Payment Amount |
191221.14 |
Total Medical Medicare Standardized Payment Amount |
207910.36 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
480 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
516 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
19 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
511 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2948 |