National Provider Identifier [NPI]: |
1407815368 |
Last Name Of The Provider |
MCCRORY |
First Name Of The Provider |
RODNEY |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2249 BOREN BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEMINOLE |
Zip Code Of The Provider |
748681927 |
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 |
135 |
Number Of Services |
9616 |
Number Of Medicare Beneficiaries |
455 |
Total Submitted Charge Amount |
249688.47 |
Total Medicare Allowed Amount |
186937.22 |
Total Medicare Payment Amount |
134399.8 |
Total Medicare Standardized Payment Amount |
151040.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
1893 |
Number Of Medicare Beneficiaries With Drug Services |
283 |
Total Drug Submitted ChargeAmount |
16314.1 |
Total Drug Medicare AllowedAmount |
4677.74 |
Total Drug Medicare PaymentAmount |
3870.85 |
Total Drug Medicare Standardized Payment Amount |
3870.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
7723 |
Number Of Medicare Beneficiaries With Medical Services |
454 |
Total Medical Submitted Charge Amount |
233374.37 |
Total Medical Medicare Allowed Amount |
182259.48 |
Total Medical Medicare Payment Amount |
130528.95 |
Total Medical Medicare Standardized Payment Amount |
147169.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
410 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
22 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0953 |