National Provider Identifier [NPI]: |
1295714939 |
Last Name Of The Provider |
ROBIN-HANNA |
First Name Of The Provider |
MANAL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
104 NW 31ST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAWTON |
Zip Code Of The Provider |
735056100 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
75212 |
Number Of Medicare Beneficiaries |
559 |
Total Submitted Charge Amount |
3768956 |
Total Medicare Allowed Amount |
1261689.65 |
Total Medicare Payment Amount |
991376.44 |
Total Medicare Standardized Payment Amount |
1003518.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
53 |
Number Of Drug Services |
65455 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
2932629 |
Total Drug Medicare AllowedAmount |
989428.99 |
Total Drug Medicare PaymentAmount |
774764.08 |
Total Drug Medicare Standardized Payment Amount |
774764.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
9757 |
Number Of Medicare Beneficiaries With Medical Services |
559 |
Total Medical Submitted Charge Amount |
836327 |
Total Medical Medicare Allowed Amount |
272260.66 |
Total Medical Medicare Payment Amount |
216612.36 |
Total Medical Medicare Standardized Payment Amount |
228754.34 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
372 |
Number Of Male Beneficiaries |
187 |
Number Of Non Hispanic White Beneficiaries |
442 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
59 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7911 |