National Provider Identifier [NPI]: |
1366481558 |
Last Name Of The Provider |
CLICK |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6205 N SANTA FE AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731187537 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
621 |
Number Of Medicare Beneficiaries |
148 |
Total Submitted Charge Amount |
113409.3 |
Total Medicare Allowed Amount |
33215.69 |
Total Medicare Payment Amount |
24455.05 |
Total Medicare Standardized Payment Amount |
30652.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
122 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
16050 |
Total Drug Medicare AllowedAmount |
3546.9 |
Total Drug Medicare PaymentAmount |
2775.5 |
Total Drug Medicare Standardized Payment Amount |
2775.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
499 |
Number Of Medicare Beneficiaries With Medical Services |
148 |
Total Medical Submitted Charge Amount |
97359.3 |
Total Medical Medicare Allowed Amount |
29668.79 |
Total Medical Medicare Payment Amount |
21679.55 |
Total Medical Medicare Standardized Payment Amount |
27876.82 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
92 |
Number Of Beneficiaries Age 75 to 84 |
27 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
81 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
137 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
132 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
11 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8895 |