National Provider Identifier [NPI]: |
1932187606 |
Last Name Of The Provider |
GURLEY |
First Name Of The Provider |
FIONNUALA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3012 ARLINGTON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ADA |
Zip Code Of The Provider |
748203073 |
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 |
41 |
Number Of Services |
2555 |
Number Of Medicare Beneficiaries |
1043 |
Total Submitted Charge Amount |
462973.26 |
Total Medicare Allowed Amount |
170934.56 |
Total Medicare Payment Amount |
124905.3 |
Total Medicare Standardized Payment Amount |
138633.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
89 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
7101 |
Total Drug Medicare AllowedAmount |
4577.09 |
Total Drug Medicare PaymentAmount |
3552.97 |
Total Drug Medicare Standardized Payment Amount |
3552.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2466 |
Number Of Medicare Beneficiaries With Medical Services |
1043 |
Total Medical Submitted Charge Amount |
455872.26 |
Total Medical Medicare Allowed Amount |
166357.47 |
Total Medical Medicare Payment Amount |
121352.33 |
Total Medical Medicare Standardized Payment Amount |
135080.68 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
370 |
Number Of Beneficiaries Age 75 to 84 |
333 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
598 |
Number Of Male Beneficiaries |
445 |
Number Of Non Hispanic White Beneficiaries |
944 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
71 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
767 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
276 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4255 |