National Provider Identifier [NPI]: |
1942495080 |
Last Name Of The Provider |
FERRIS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7 S MICKEY MANTLE DR |
Street Address 2 Of The Provider |
SUITE 325 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731042458 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
1955 |
Number Of Medicare Beneficiaries |
957 |
Total Submitted Charge Amount |
227636.18 |
Total Medicare Allowed Amount |
162245.26 |
Total Medicare Payment Amount |
111635.48 |
Total Medicare Standardized Payment Amount |
121785.11 |
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 |
15 |
Number Of Medical Services |
1955 |
Number Of Medicare Beneficiaries With Medical Services |
957 |
Total Medical Submitted Charge Amount |
227636.18 |
Total Medical Medicare Allowed Amount |
162245.26 |
Total Medical Medicare Payment Amount |
111635.48 |
Total Medical Medicare Standardized Payment Amount |
121785.11 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
327 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
619 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
636 |
Number Of Black or African American Beneficiaries |
243 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
38 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
341 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
616 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.3647 |