National Provider Identifier [NPI]: |
1982666582 |
Last Name Of The Provider |
KURVINK |
First Name Of The Provider |
KIM |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 E VAN BUREN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCALESTER |
Zip Code Of The Provider |
745014245 |
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 |
74 |
Number Of Services |
3112 |
Number Of Medicare Beneficiaries |
604 |
Total Submitted Charge Amount |
350882 |
Total Medicare Allowed Amount |
179985.98 |
Total Medicare Payment Amount |
119802.36 |
Total Medicare Standardized Payment Amount |
132691.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
267 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
6382 |
Total Drug Medicare AllowedAmount |
4886.57 |
Total Drug Medicare PaymentAmount |
4508.63 |
Total Drug Medicare Standardized Payment Amount |
4508.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2845 |
Number Of Medicare Beneficiaries With Medical Services |
603 |
Total Medical Submitted Charge Amount |
344500 |
Total Medical Medicare Allowed Amount |
175099.41 |
Total Medical Medicare Payment Amount |
115293.73 |
Total Medical Medicare Standardized Payment Amount |
128182.61 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
513 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
57 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
347 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3973 |