National Provider Identifier [NPI]: |
1154373835 |
Last Name Of The Provider |
BUCK |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12697 E 51ST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741466236 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
236 |
Number Of Services |
109678 |
Number Of Medicare Beneficiaries |
1270 |
Total Submitted Charge Amount |
5272087 |
Total Medicare Allowed Amount |
2035156.09 |
Total Medicare Payment Amount |
1591979.19 |
Total Medicare Standardized Payment Amount |
1629908.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
87 |
Number Of Drug Services |
98202 |
Number Of Medicare Beneficiaries With Drug Services |
491 |
Total Drug Submitted ChargeAmount |
3725523 |
Total Drug Medicare AllowedAmount |
1492492.2 |
Total Drug Medicare PaymentAmount |
1166080.38 |
Total Drug Medicare Standardized Payment Amount |
1166080.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
11476 |
Number Of Medicare Beneficiaries With Medical Services |
1270 |
Total Medical Submitted Charge Amount |
1546564 |
Total Medical Medicare Allowed Amount |
542663.89 |
Total Medical Medicare Payment Amount |
425898.81 |
Total Medical Medicare Standardized Payment Amount |
463827.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
595 |
Number Of Beneficiaries Age 75 to 84 |
394 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
765 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
1033 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
125 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1058 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9773 |