| National Provider Identifier [NPI]: | 1003819939 |
| Last Name Of The Provider | GELCZER |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3330 NW 56TH ST |
| Street Address 2 Of The Provider | STE 206 |
| City Of The Provider | OKLAHOMA CITY |
| Zip Code Of The Provider | 731124426 |
| State Code Of The Provider | OK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 173 |
| Number Of Services | 19505 |
| Number Of Medicare Beneficiaries | 4368 |
| Total Submitted Charge Amount | 287448.4 |
| Total Medicare Allowed Amount | 270213.6 |
| Total Medicare Payment Amount | 202325.75 |
| Total Medicare Standardized Payment Amount | 221547.29 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 12916 |
| Number Of Medicare Beneficiaries With Drug Services | 146 |
| Total Drug Submitted ChargeAmount | 2014.18 |
| Total Drug Medicare AllowedAmount | 1731.06 |
| Total Drug Medicare PaymentAmount | 1334.45 |
| Total Drug Medicare Standardized Payment Amount | 1334.45 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 170 |
| Number Of Medical Services | 6589 |
| Number Of Medicare Beneficiaries With Medical Services | 4368 |
| Total Medical Submitted Charge Amount | 285434.22 |
| Total Medical Medicare Allowed Amount | 268482.54 |
| Total Medical Medicare Payment Amount | 200991.3 |
| Total Medical Medicare Standardized Payment Amount | 220212.84 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 722 |
| Number Of Beneficiaries Age 65 to 74 | 1718 |
| Number Of Beneficiaries Age 75 to 84 | 1336 |
| Number Of Beneficiaries Age Greater 84 | 592 |
| Number Of Female Beneficiaries | 2466 |
| Number Of Male Beneficiaries | 1902 |
| Number Of Non Hispanic White Beneficiaries | 3670 |
| Number Of Black or African American Beneficiaries | 337 |
| Number Of AsianPacific Islander Beneficiaries | 49 |
| Number Of Hispanic Beneficiaries | 76 |
| Number Of American Indian Alaska Native Beneficiaries | 190 |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3567 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 801 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.8814 |