National Provider Identifier [NPI]: |
1306844428 |
Last Name Of The Provider |
ROGERS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
615 E OKLAHOMA AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
ENID |
Zip Code Of The Provider |
737015951 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
2769 |
Number Of Medicare Beneficiaries |
1412 |
Total Submitted Charge Amount |
949500.6 |
Total Medicare Allowed Amount |
356842.52 |
Total Medicare Payment Amount |
254771.11 |
Total Medicare Standardized Payment Amount |
281450.09 |
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 |
35 |
Number Of Medical Services |
2769 |
Number Of Medicare Beneficiaries With Medical Services |
1412 |
Total Medical Submitted Charge Amount |
949500.6 |
Total Medical Medicare Allowed Amount |
356842.52 |
Total Medical Medicare Payment Amount |
254771.11 |
Total Medical Medicare Standardized Payment Amount |
281450.09 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
617 |
Number Of Beneficiaries Age Greater 84 |
267 |
Number Of Female Beneficiaries |
862 |
Number Of Male Beneficiaries |
550 |
Number Of Non Hispanic White Beneficiaries |
1359 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0659 |