National Provider Identifier [NPI]: |
1043210370 |
Last Name Of The Provider |
HAMILTON |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 N MIDWEST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDWEST CITY |
Zip Code Of The Provider |
731104321 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
195243 |
Number Of Medicare Beneficiaries |
535 |
Total Submitted Charge Amount |
9362024 |
Total Medicare Allowed Amount |
2869532.77 |
Total Medicare Payment Amount |
2194791.76 |
Total Medicare Standardized Payment Amount |
2220504.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
189581 |
Number Of Medicare Beneficiaries With Drug Services |
136 |
Total Drug Submitted ChargeAmount |
8284823 |
Total Drug Medicare AllowedAmount |
2544172.64 |
Total Drug Medicare PaymentAmount |
1950459.21 |
Total Drug Medicare Standardized Payment Amount |
1950459.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
5662 |
Number Of Medicare Beneficiaries With Medical Services |
535 |
Total Medical Submitted Charge Amount |
1077201 |
Total Medical Medicare Allowed Amount |
325360.13 |
Total Medical Medicare Payment Amount |
244332.55 |
Total Medical Medicare Standardized Payment Amount |
270045.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
479 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
490 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
59 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.9422 |