National Provider Identifier [NPI]: |
1497863815 |
Last Name Of The Provider |
VIRK |
First Name Of The Provider |
IMRAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5224 E I 240 SERVICE RD FL 2 |
Street Address 2 Of The Provider |
|
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731352607 |
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 |
110 |
Number Of Services |
5283 |
Number Of Medicare Beneficiaries |
1237 |
Total Submitted Charge Amount |
1264492 |
Total Medicare Allowed Amount |
564888.37 |
Total Medicare Payment Amount |
414563.9 |
Total Medicare Standardized Payment Amount |
460771.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
7767 |
Total Drug Medicare AllowedAmount |
4028.21 |
Total Drug Medicare PaymentAmount |
3158.16 |
Total Drug Medicare Standardized Payment Amount |
3158.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
5206 |
Number Of Medicare Beneficiaries With Medical Services |
1237 |
Total Medical Submitted Charge Amount |
1256725 |
Total Medical Medicare Allowed Amount |
560860.16 |
Total Medical Medicare Payment Amount |
411405.74 |
Total Medical Medicare Standardized Payment Amount |
457612.97 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
240 |
Number Of Beneficiaries Age 65 to 74 |
491 |
Number Of Beneficiaries Age 75 to 84 |
355 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
695 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
973 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
53 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
876 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
361 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8485 |