National Provider Identifier [NPI]: |
1053318287 |
Last Name Of The Provider |
TULEY |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 E VAN BUREN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCALESTER |
Zip Code Of The Provider |
745014245 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
5490 |
Number Of Medicare Beneficiaries |
272 |
Total Submitted Charge Amount |
316512.2 |
Total Medicare Allowed Amount |
89747.26 |
Total Medicare Payment Amount |
68708.47 |
Total Medicare Standardized Payment Amount |
72590.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1658 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
15170.58 |
Total Drug Medicare AllowedAmount |
8043.83 |
Total Drug Medicare PaymentAmount |
6365.44 |
Total Drug Medicare Standardized Payment Amount |
6365.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
3832 |
Number Of Medicare Beneficiaries With Medical Services |
272 |
Total Medical Submitted Charge Amount |
301341.62 |
Total Medical Medicare Allowed Amount |
81703.43 |
Total Medical Medicare Payment Amount |
62343.03 |
Total Medical Medicare Standardized Payment Amount |
66224.86 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2443 |