National Provider Identifier [NPI]: |
1295776383 |
Last Name Of The Provider |
DELO |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
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 |
227 |
Number Of Services |
139310 |
Number Of Medicare Beneficiaries |
1616 |
Total Submitted Charge Amount |
6765630 |
Total Medicare Allowed Amount |
2603817.31 |
Total Medicare Payment Amount |
2038235.89 |
Total Medicare Standardized Payment Amount |
2098773.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
89 |
Number Of Drug Services |
123851 |
Number Of Medicare Beneficiaries With Drug Services |
500 |
Total Drug Submitted ChargeAmount |
4506572 |
Total Drug Medicare AllowedAmount |
1819579.94 |
Total Drug Medicare PaymentAmount |
1423453.34 |
Total Drug Medicare Standardized Payment Amount |
1423453.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
15459 |
Number Of Medicare Beneficiaries With Medical Services |
1615 |
Total Medical Submitted Charge Amount |
2259058 |
Total Medical Medicare Allowed Amount |
784237.37 |
Total Medical Medicare Payment Amount |
614782.55 |
Total Medical Medicare Standardized Payment Amount |
675320.62 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
217 |
Number Of Beneficiaries Age 65 to 74 |
739 |
Number Of Beneficiaries Age 75 to 84 |
526 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
996 |
Number Of Male Beneficiaries |
620 |
Number Of Non Hispanic White Beneficiaries |
1354 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
151 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1377 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
239 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.9143 |