National Provider Identifier [NPI]: |
1619914991 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6151 S YALE AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741361907 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
5866 |
Number Of Medicare Beneficiaries |
3456 |
Total Submitted Charge Amount |
420230 |
Total Medicare Allowed Amount |
184622.59 |
Total Medicare Payment Amount |
137477.98 |
Total Medicare Standardized Payment Amount |
145183.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
5866 |
Number Of Medicare Beneficiaries With Medical Services |
3456 |
Total Medical Submitted Charge Amount |
420230 |
Total Medical Medicare Allowed Amount |
184622.59 |
Total Medical Medicare Payment Amount |
137477.98 |
Total Medical Medicare Standardized Payment Amount |
145183.98 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
637 |
Number Of Beneficiaries Age 65 to 74 |
1251 |
Number Of Beneficiaries Age 75 to 84 |
1051 |
Number Of Beneficiaries Age Greater 84 |
517 |
Number Of Female Beneficiaries |
1840 |
Number Of Male Beneficiaries |
1616 |
Number Of Non Hispanic White Beneficiaries |
2823 |
Number Of Black or African American Beneficiaries |
223 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
321 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2653 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
803 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8651 |