National Provider Identifier [NPI]: |
1326001058 |
Last Name Of The Provider |
OZ |
First Name Of The Provider |
ORHAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5323 HARRY HINES BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
753907208 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
941 |
Number Of Medicare Beneficiaries |
773 |
Total Submitted Charge Amount |
81052 |
Total Medicare Allowed Amount |
31030.79 |
Total Medicare Payment Amount |
24340.62 |
Total Medicare Standardized Payment Amount |
24334.41 |
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 |
66 |
Number Of Medical Services |
941 |
Number Of Medicare Beneficiaries With Medical Services |
773 |
Total Medical Submitted Charge Amount |
81052 |
Total Medical Medicare Allowed Amount |
31030.79 |
Total Medical Medicare Payment Amount |
24340.62 |
Total Medical Medicare Standardized Payment Amount |
24334.41 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
392 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
464 |
Number Of Male Beneficiaries |
309 |
Number Of Non Hispanic White Beneficiaries |
328 |
Number Of Black or African American Beneficiaries |
255 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
159 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.0258 |