Medicare Facts for Kelli T. Dyer, CNM


National Provider Identifier [NPI]: 1235385766
Last Name Of The Provider DYER
First Name Of The Provider KELLI
Middle Initial Of The Provider H
Credentials Of The Provider D.O.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 10010 E 81ST ST STE 100
Street Address 2 Of The Provider
City Of The Provider TULSA
Zip Code Of The Provider 741334558
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 50
Number Of Services 1707
Number Of Medicare Beneficiaries 321
Total Submitted Charge Amount 514927
Total Medicare Allowed Amount 156973.72
Total Medicare Payment Amount 117513.8
Total Medicare Standardized Payment Amount 128014.27
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 529
Number Of Medicare Beneficiaries With Drug Services 30
Total Drug Submitted ChargeAmount 105800
Total Drug Medicare AllowedAmount 35100.04
Total Drug Medicare PaymentAmount 27480.84
Total Drug Medicare Standardized Payment Amount 27480.84
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 49
Number Of Medical Services 1178
Number Of Medicare Beneficiaries With Medical Services 321
Total Medical Submitted Charge Amount 409127
Total Medical Medicare Allowed Amount 121873.68
Total Medical Medicare Payment Amount 90032.96
Total Medical Medicare Standardized Payment Amount 100533.43
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 49
Number Of Beneficiaries Age 65 to 74 155
Number Of Beneficiaries Age 75 to 84 82
Number Of Beneficiaries Age Greater 84 35
Number Of Female Beneficiaries 185
Number Of Male Beneficiaries 136
Number Of Non Hispanic White Beneficiaries 262
Number Of Black or African American Beneficiaries 15
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 24
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 259
Number Of Beneficiaries With Medicare Medicaid Entitlement 62
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 4
Percent Of With Cancer 5
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 20
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.0986

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