| National Provider Identifier [NPI]: | 1073561510 |
| Last Name Of The Provider | BAKER |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4111 S DARLINGTON AVE |
| Street Address 2 Of The Provider | STE 700 |
| City Of The Provider | TULSA |
| Zip Code Of The Provider | 741356349 |
| 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 | 144 |
| Number Of Services | 5853 |
| Number Of Medicare Beneficiaries | 4187 |
| Total Submitted Charge Amount | 447554 |
| Total Medicare Allowed Amount | 153338.89 |
| Total Medicare Payment Amount | 117481.61 |
| Total Medicare Standardized Payment Amount | 124651.49 |
| 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 | 144 |
| Number Of Medical Services | 5853 |
| Number Of Medicare Beneficiaries With Medical Services | 4187 |
| Total Medical Submitted Charge Amount | 447554 |
| Total Medical Medicare Allowed Amount | 153338.89 |
| Total Medical Medicare Payment Amount | 117481.61 |
| Total Medical Medicare Standardized Payment Amount | 124651.49 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 732 |
| Number Of Beneficiaries Age 65 to 74 | 1568 |
| Number Of Beneficiaries Age 75 to 84 | 1174 |
| Number Of Beneficiaries Age Greater 84 | 713 |
| Number Of Female Beneficiaries | 2561 |
| Number Of Male Beneficiaries | 1626 |
| Number Of Non Hispanic White Beneficiaries | 3432 |
| Number Of Black or African American Beneficiaries | 330 |
| Number Of AsianPacific Islander Beneficiaries | 32 |
| Number Of Hispanic Beneficiaries | 49 |
| Number Of American Indian Alaska Native Beneficiaries | 324 |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3160 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1027 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 50 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.5712 |