National Provider Identifier [NPI]: |
1205827508 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
GLENNA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1125 N PORTER AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NORMAN |
Zip Code Of The Provider |
730716443 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
5798 |
Number Of Medicare Beneficiaries |
2752 |
Total Submitted Charge Amount |
933252 |
Total Medicare Allowed Amount |
377312.02 |
Total Medicare Payment Amount |
339066.79 |
Total Medicare Standardized Payment Amount |
381091.63 |
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 |
19 |
Number Of Medical Services |
5798 |
Number Of Medicare Beneficiaries With Medical Services |
2752 |
Total Medical Submitted Charge Amount |
933252 |
Total Medical Medicare Allowed Amount |
377312.02 |
Total Medical Medicare Payment Amount |
339066.79 |
Total Medical Medicare Standardized Payment Amount |
381091.63 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
267 |
Number Of Beneficiaries Age 65 to 74 |
1601 |
Number Of Beneficiaries Age 75 to 84 |
741 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
2739 |
Number Of Male Beneficiaries |
13 |
Number Of Non Hispanic White Beneficiaries |
2503 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
91 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
2482 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8042 |