National Provider Identifier [NPI]: |
1730137274 |
Last Name Of The Provider |
FLEMING |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4625 S WESTERN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731093831 |
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 |
195 |
Number Of Services |
9978 |
Number Of Medicare Beneficiaries |
6007 |
Total Submitted Charge Amount |
1145512 |
Total Medicare Allowed Amount |
286331.56 |
Total Medicare Payment Amount |
219232.93 |
Total Medicare Standardized Payment Amount |
233536.74 |
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 |
195 |
Number Of Medical Services |
9978 |
Number Of Medicare Beneficiaries With Medical Services |
6007 |
Total Medical Submitted Charge Amount |
1145512 |
Total Medical Medicare Allowed Amount |
286331.56 |
Total Medical Medicare Payment Amount |
219232.93 |
Total Medical Medicare Standardized Payment Amount |
233536.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
702 |
Number Of Beneficiaries Age 65 to 74 |
2186 |
Number Of Beneficiaries Age 75 to 84 |
2013 |
Number Of Beneficiaries Age Greater 84 |
1106 |
Number Of Female Beneficiaries |
3309 |
Number Of Male Beneficiaries |
2698 |
Number Of Non Hispanic White Beneficiaries |
5303 |
Number Of Black or African American Beneficiaries |
308 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
81 |
Number Of American Indian Alaska Native Beneficiaries |
236 |
Number Of Beneficiaries With Race Not Else where Classified |
48 |
Number Of Beneficiaries With Medicare Only Entitlement |
5044 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
963 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5976 |