National Provider Identifier [NPI]: |
1053316125 |
Last Name Of The Provider |
BOND |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3366 NW EXPRESSWAY |
Street Address 2 Of The Provider |
STE 550 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731124489 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3582 |
Number Of Medicare Beneficiaries |
573 |
Total Submitted Charge Amount |
541566 |
Total Medicare Allowed Amount |
290362.09 |
Total Medicare Payment Amount |
216504.67 |
Total Medicare Standardized Payment Amount |
234363.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
893 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
26825 |
Total Drug Medicare AllowedAmount |
10274.88 |
Total Drug Medicare PaymentAmount |
7931.89 |
Total Drug Medicare Standardized Payment Amount |
7931.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2689 |
Number Of Medicare Beneficiaries With Medical Services |
573 |
Total Medical Submitted Charge Amount |
514741 |
Total Medical Medicare Allowed Amount |
280087.21 |
Total Medical Medicare Payment Amount |
208572.78 |
Total Medical Medicare Standardized Payment Amount |
226431.88 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
439 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
36 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
451 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
3.3747 |