National Provider Identifier [NPI]: |
1508884313 |
Last Name Of The Provider |
WEST |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3450 E FRANK PHILLIPS BLVD |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
BARTLESVILLE |
Zip Code Of The Provider |
740062406 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3381 |
Number Of Medicare Beneficiaries |
689 |
Total Submitted Charge Amount |
367985.8 |
Total Medicare Allowed Amount |
170179.12 |
Total Medicare Payment Amount |
115270.53 |
Total Medicare Standardized Payment Amount |
126826.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
455 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
9573 |
Total Drug Medicare AllowedAmount |
3686.37 |
Total Drug Medicare PaymentAmount |
3032.76 |
Total Drug Medicare Standardized Payment Amount |
3032.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2926 |
Number Of Medicare Beneficiaries With Medical Services |
689 |
Total Medical Submitted Charge Amount |
358412.8 |
Total Medical Medicare Allowed Amount |
166492.75 |
Total Medical Medicare Payment Amount |
112237.77 |
Total Medical Medicare Standardized Payment Amount |
123793.85 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
635 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
35 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9834 |