National Provider Identifier [NPI]: |
1972519544 |
Last Name Of The Provider |
SAEED |
First Name Of The Provider |
UMAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
527 WEST THIRD STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
KONAWA |
Zip Code Of The Provider |
74849 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
5930 |
Number Of Medicare Beneficiaries |
272 |
Total Submitted Charge Amount |
1394376.75 |
Total Medicare Allowed Amount |
206744.21 |
Total Medicare Payment Amount |
160197.23 |
Total Medicare Standardized Payment Amount |
140809.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
1823 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
153811 |
Total Drug Medicare AllowedAmount |
1969.13 |
Total Drug Medicare PaymentAmount |
1520.5 |
Total Drug Medicare Standardized Payment Amount |
1520.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
4107 |
Number Of Medicare Beneficiaries With Medical Services |
272 |
Total Medical Submitted Charge Amount |
1240565.75 |
Total Medical Medicare Allowed Amount |
204775.08 |
Total Medical Medicare Payment Amount |
158676.73 |
Total Medical Medicare Standardized Payment Amount |
139289.09 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
194 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
205 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1905 |