National Provider Identifier [NPI]: |
1790752491 |
Last Name Of The Provider |
VILLANO |
First Name Of The Provider |
MICHAEL |
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 |
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 |
70 |
Number Of Services |
4991 |
Number Of Medicare Beneficiaries |
1141 |
Total Submitted Charge Amount |
836247.5 |
Total Medicare Allowed Amount |
353789.76 |
Total Medicare Payment Amount |
258806.94 |
Total Medicare Standardized Payment Amount |
272483.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
233 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
20900 |
Total Drug Medicare AllowedAmount |
12314.49 |
Total Drug Medicare PaymentAmount |
9654.51 |
Total Drug Medicare Standardized Payment Amount |
9654.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
4758 |
Number Of Medicare Beneficiaries With Medical Services |
1141 |
Total Medical Submitted Charge Amount |
815347.5 |
Total Medical Medicare Allowed Amount |
341475.27 |
Total Medical Medicare Payment Amount |
249152.43 |
Total Medical Medicare Standardized Payment Amount |
262829.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
206 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
324 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
655 |
Number Of Male Beneficiaries |
486 |
Number Of Non Hispanic White Beneficiaries |
1008 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
53 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
874 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
267 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7015 |