National Provider Identifier [NPI]: |
1124346473 |
Last Name Of The Provider |
PLANTS |
First Name Of The Provider |
NICHOLAS |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9315 S. PENNSYLVANIA AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731596913 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
3542 |
Number Of Medicare Beneficiaries |
915 |
Total Submitted Charge Amount |
257111.01 |
Total Medicare Allowed Amount |
175105.39 |
Total Medicare Payment Amount |
126927.45 |
Total Medicare Standardized Payment Amount |
138729.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
90 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
720 |
Total Drug Medicare AllowedAmount |
161.23 |
Total Drug Medicare PaymentAmount |
117.68 |
Total Drug Medicare Standardized Payment Amount |
117.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3452 |
Number Of Medicare Beneficiaries With Medical Services |
915 |
Total Medical Submitted Charge Amount |
256391.01 |
Total Medical Medicare Allowed Amount |
174944.16 |
Total Medical Medicare Payment Amount |
126809.77 |
Total Medical Medicare Standardized Payment Amount |
138611.77 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
617 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
732 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
53 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
356 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
559 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
60 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
23 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9182 |