National Provider Identifier [NPI]: |
1215062799 |
Last Name Of The Provider |
ALNABHAN |
First Name Of The Provider |
NABHAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8121 NATIONAL AVE STE 300 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDWEST CITY |
Zip Code Of The Provider |
731107571 |
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 |
108 |
Number Of Services |
3974 |
Number Of Medicare Beneficiaries |
803 |
Total Submitted Charge Amount |
876361 |
Total Medicare Allowed Amount |
348673.93 |
Total Medicare Payment Amount |
252796.42 |
Total Medicare Standardized Payment Amount |
276739.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
10400 |
Total Drug Medicare AllowedAmount |
2756.06 |
Total Drug Medicare PaymentAmount |
2160.72 |
Total Drug Medicare Standardized Payment Amount |
2160.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
3922 |
Number Of Medicare Beneficiaries With Medical Services |
803 |
Total Medical Submitted Charge Amount |
865961 |
Total Medical Medicare Allowed Amount |
345917.87 |
Total Medical Medicare Payment Amount |
250635.7 |
Total Medical Medicare Standardized Payment Amount |
274578.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
452 |
Number Of Male Beneficiaries |
351 |
Number Of Non Hispanic White Beneficiaries |
642 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
79 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
644 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6136 |