National Provider Identifier [NPI]: |
1477540078 |
Last Name Of The Provider |
LEONARD |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
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 |
741356348 |
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 |
161 |
Number Of Services |
5031 |
Number Of Medicare Beneficiaries |
3413 |
Total Submitted Charge Amount |
393921.5 |
Total Medicare Allowed Amount |
126683.55 |
Total Medicare Payment Amount |
95032.4 |
Total Medicare Standardized Payment Amount |
101478.33 |
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 |
161 |
Number Of Medical Services |
5031 |
Number Of Medicare Beneficiaries With Medical Services |
3413 |
Total Medical Submitted Charge Amount |
393921.5 |
Total Medical Medicare Allowed Amount |
126683.55 |
Total Medical Medicare Payment Amount |
95032.4 |
Total Medical Medicare Standardized Payment Amount |
101478.33 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
742 |
Number Of Beneficiaries Age 65 to 74 |
1160 |
Number Of Beneficiaries Age 75 to 84 |
950 |
Number Of Beneficiaries Age Greater 84 |
561 |
Number Of Female Beneficiaries |
1898 |
Number Of Male Beneficiaries |
1515 |
Number Of Non Hispanic White Beneficiaries |
2727 |
Number Of Black or African American Beneficiaries |
225 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
370 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
919 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9824 |