National Provider Identifier [NPI]: |
1982708939 |
Last Name Of The Provider |
DELAFIELD |
First Name Of The Provider |
FREDERICK |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4200 W MEMORIAL RD |
Street Address 2 Of The Provider |
SUITE 313 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731209350 |
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 |
47 |
Number Of Services |
33290 |
Number Of Medicare Beneficiaries |
809 |
Total Submitted Charge Amount |
1611209 |
Total Medicare Allowed Amount |
791999.76 |
Total Medicare Payment Amount |
600144.28 |
Total Medicare Standardized Payment Amount |
614951.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
30477 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
1276266 |
Total Drug Medicare AllowedAmount |
613692.96 |
Total Drug Medicare PaymentAmount |
469511.1 |
Total Drug Medicare Standardized Payment Amount |
469511.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2813 |
Number Of Medicare Beneficiaries With Medical Services |
808 |
Total Medical Submitted Charge Amount |
334943 |
Total Medical Medicare Allowed Amount |
178306.8 |
Total Medical Medicare Payment Amount |
130633.18 |
Total Medical Medicare Standardized Payment Amount |
145440.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
557 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
706 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
683 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6482 |