National Provider Identifier [NPI]: |
1568457331 |
Last Name Of The Provider |
BRITTINGHAM |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3201 W GORE BLVD |
Street Address 2 Of The Provider |
SUITE 304 |
City Of The Provider |
LAWTON |
Zip Code Of The Provider |
73505 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
8597 |
Number Of Medicare Beneficiaries |
928 |
Total Submitted Charge Amount |
756456.58 |
Total Medicare Allowed Amount |
470332.68 |
Total Medicare Payment Amount |
345306.7 |
Total Medicare Standardized Payment Amount |
376961.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
2147 |
Number Of Medicare Beneficiaries With Drug Services |
574 |
Total Drug Submitted ChargeAmount |
79422.58 |
Total Drug Medicare AllowedAmount |
39501.59 |
Total Drug Medicare PaymentAmount |
36409.14 |
Total Drug Medicare Standardized Payment Amount |
36409.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
6450 |
Number Of Medicare Beneficiaries With Medical Services |
928 |
Total Medical Submitted Charge Amount |
677034 |
Total Medical Medicare Allowed Amount |
430831.09 |
Total Medical Medicare Payment Amount |
308897.56 |
Total Medical Medicare Standardized Payment Amount |
340552.73 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
409 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
482 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
676 |
Number Of Black or African American Beneficiaries |
157 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
25 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
791 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3279 |