National Provider Identifier [NPI]: |
1376535047 |
Last Name Of The Provider |
SELLERS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3500 HEALTHPLEX PKWY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
NORMAN |
Zip Code Of The Provider |
730729738 |
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 |
91 |
Number Of Services |
7364 |
Number Of Medicare Beneficiaries |
1222 |
Total Submitted Charge Amount |
1037730.24 |
Total Medicare Allowed Amount |
439089.78 |
Total Medicare Payment Amount |
329019.31 |
Total Medicare Standardized Payment Amount |
355001.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
607 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
53802 |
Total Drug Medicare AllowedAmount |
31708.14 |
Total Drug Medicare PaymentAmount |
24744.55 |
Total Drug Medicare Standardized Payment Amount |
24744.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
6757 |
Number Of Medicare Beneficiaries With Medical Services |
1222 |
Total Medical Submitted Charge Amount |
983928.24 |
Total Medical Medicare Allowed Amount |
407381.64 |
Total Medical Medicare Payment Amount |
304274.76 |
Total Medical Medicare Standardized Payment Amount |
330256.85 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
472 |
Number Of Beneficiaries Age 75 to 84 |
450 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
631 |
Number Of Male Beneficiaries |
591 |
Number Of Non Hispanic White Beneficiaries |
1140 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
42 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1071 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3935 |