National Provider Identifier [NPI]: |
1477521839 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
JOAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
825 NE 10TH ST |
Street Address 2 Of The Provider |
OUPB5200 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731045417 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gynecological/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
53242 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
3345062 |
Total Medicare Allowed Amount |
1217471.21 |
Total Medicare Payment Amount |
948356.7 |
Total Medicare Standardized Payment Amount |
953597.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
50763 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
2528271 |
Total Drug Medicare AllowedAmount |
1013610.53 |
Total Drug Medicare PaymentAmount |
790637.41 |
Total Drug Medicare Standardized Payment Amount |
790637.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
2479 |
Number Of Medicare Beneficiaries With Medical Services |
482 |
Total Medical Submitted Charge Amount |
816791 |
Total Medical Medicare Allowed Amount |
203860.68 |
Total Medical Medicare Payment Amount |
157719.29 |
Total Medical Medicare Standardized Payment Amount |
162959.77 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
389 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
406 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9308 |