National Provider Identifier [NPI]: |
1215970959 |
Last Name Of The Provider |
SWINNEY |
First Name Of The Provider |
AUDIE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28870 SOUTH DEWEY BARTLETT AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HENRYETTA |
Zip Code Of The Provider |
74437 |
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 |
95 |
Number Of Services |
4197 |
Number Of Medicare Beneficiaries |
298 |
Total Submitted Charge Amount |
398790.4 |
Total Medicare Allowed Amount |
283829.52 |
Total Medicare Payment Amount |
198270.86 |
Total Medicare Standardized Payment Amount |
221372.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
652 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
30495.4 |
Total Drug Medicare AllowedAmount |
10600.77 |
Total Drug Medicare PaymentAmount |
8144.71 |
Total Drug Medicare Standardized Payment Amount |
8144.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
3545 |
Number Of Medicare Beneficiaries With Medical Services |
298 |
Total Medical Submitted Charge Amount |
368295 |
Total Medical Medicare Allowed Amount |
273228.75 |
Total Medical Medicare Payment Amount |
190126.15 |
Total Medical Medicare Standardized Payment Amount |
213228.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
258 |
Number Of Black or African American Beneficiaries |
22 |
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 |
196 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1549 |