National Provider Identifier [NPI]: |
1932168572 |
Last Name Of The Provider |
BARRETO |
First Name Of The Provider |
ANGELIQUE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3414 NW 135TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731204009 |
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 |
79 |
Number Of Services |
4021 |
Number Of Medicare Beneficiaries |
314 |
Total Submitted Charge Amount |
535127.57 |
Total Medicare Allowed Amount |
247624.95 |
Total Medicare Payment Amount |
179294.3 |
Total Medicare Standardized Payment Amount |
198171.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
591 |
Number Of Medicare Beneficiaries With Drug Services |
173 |
Total Drug Submitted ChargeAmount |
29068 |
Total Drug Medicare AllowedAmount |
4351.4 |
Total Drug Medicare PaymentAmount |
3903.18 |
Total Drug Medicare Standardized Payment Amount |
3903.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3430 |
Number Of Medicare Beneficiaries With Medical Services |
314 |
Total Medical Submitted Charge Amount |
506059.57 |
Total Medical Medicare Allowed Amount |
243273.55 |
Total Medical Medicare Payment Amount |
175391.12 |
Total Medical Medicare Standardized Payment Amount |
194268.56 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
24 |
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 |
293 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9566 |