National Provider Identifier [NPI]: |
1417136698 |
Last Name Of The Provider |
OLANDER |
First Name Of The Provider |
ROBIN |
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 |
940 NE 13TH ST |
Street Address 2 Of The Provider |
SUITE 4G4250 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731045008 |
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 |
76 |
Number Of Services |
2457 |
Number Of Medicare Beneficiaries |
1472 |
Total Submitted Charge Amount |
122977 |
Total Medicare Allowed Amount |
26181.87 |
Total Medicare Payment Amount |
20026.75 |
Total Medicare Standardized Payment Amount |
21174.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
2457 |
Number Of Medicare Beneficiaries With Medical Services |
1472 |
Total Medical Submitted Charge Amount |
122977 |
Total Medical Medicare Allowed Amount |
26181.87 |
Total Medical Medicare Payment Amount |
20026.75 |
Total Medical Medicare Standardized Payment Amount |
21174.68 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
528 |
Number Of Beneficiaries Age 65 to 74 |
521 |
Number Of Beneficiaries Age 75 to 84 |
323 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
855 |
Number Of Male Beneficiaries |
617 |
Number Of Non Hispanic White Beneficiaries |
991 |
Number Of Black or African American Beneficiaries |
298 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
101 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
864 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
608 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1533 |