National Provider Identifier [NPI]: |
1194724955 |
Last Name Of The Provider |
BARNES |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13600 E 86TH ST N |
Street Address 2 Of The Provider |
|
City Of The Provider |
OWASSO |
Zip Code Of The Provider |
740558731 |
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 |
37 |
Number Of Services |
890 |
Number Of Medicare Beneficiaries |
217 |
Total Submitted Charge Amount |
102022 |
Total Medicare Allowed Amount |
53585.69 |
Total Medicare Payment Amount |
33163.11 |
Total Medicare Standardized Payment Amount |
37026.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
208 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
3374 |
Total Drug Medicare AllowedAmount |
2179.92 |
Total Drug Medicare PaymentAmount |
2085.42 |
Total Drug Medicare Standardized Payment Amount |
2085.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
682 |
Number Of Medicare Beneficiaries With Medical Services |
217 |
Total Medical Submitted Charge Amount |
98648 |
Total Medical Medicare Allowed Amount |
51405.77 |
Total Medical Medicare Payment Amount |
31077.69 |
Total Medical Medicare Standardized Payment Amount |
34941.5 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
151 |
Number Of Male Beneficiaries |
66 |
Number Of Non Hispanic White Beneficiaries |
199 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7658 |