National Provider Identifier [NPI]: |
1073580924 |
Last Name Of The Provider |
TOK |
First Name Of The Provider |
ULKER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1521 E TANGERINE RD STE 331 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORO VALLEY |
Zip Code Of The Provider |
857556223 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
1407 |
Number Of Medicare Beneficiaries |
485 |
Total Submitted Charge Amount |
300870 |
Total Medicare Allowed Amount |
151365.61 |
Total Medicare Payment Amount |
101484.22 |
Total Medicare Standardized Payment Amount |
104262.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
127 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
12240 |
Total Drug Medicare AllowedAmount |
4589.42 |
Total Drug Medicare PaymentAmount |
3161.22 |
Total Drug Medicare Standardized Payment Amount |
3161.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
1280 |
Number Of Medicare Beneficiaries With Medical Services |
485 |
Total Medical Submitted Charge Amount |
288630 |
Total Medical Medicare Allowed Amount |
146776.19 |
Total Medical Medicare Payment Amount |
98323 |
Total Medical Medicare Standardized Payment Amount |
101101.73 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
116 |
Number Of Non Hispanic White Beneficiaries |
336 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
115 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1917 |