Medicare Facts for Dr. Christian Ellis, DO


National Provider Identifier [NPI]: 1205832607
Last Name Of The Provider ELLIS
First Name Of The Provider CHRISTIAN
Middle Initial Of The Provider
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4140 W MEMORIAL RD
Street Address 2 Of The Provider STE. 621
City Of The Provider OKLAHOMA CITY
Zip Code Of The Provider 731208366
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider General Surgery
Medicare Participation Indicator Y
Number Of HCPCS 118
Number Of Services 527
Number Of Medicare Beneficiaries 241
Total Submitted Charge Amount 448024
Total Medicare Allowed Amount 185810.62
Total Medicare Payment Amount 139810.86
Total Medicare Standardized Payment Amount 155842.46
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 118
Number Of Medical Services 527
Number Of Medicare Beneficiaries With Medical Services 241
Total Medical Submitted Charge Amount 448024
Total Medical Medicare Allowed Amount 185810.62
Total Medical Medicare Payment Amount 139810.86
Total Medical Medicare Standardized Payment Amount 155842.46
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 25
Number Of Beneficiaries Age 65 to 74 119
Number Of Beneficiaries Age 75 to 84 73
Number Of Beneficiaries Age Greater 84 24
Number Of Female Beneficiaries 121
Number Of Male Beneficiaries 120
Number Of Non Hispanic White Beneficiaries 218
Number Of Black or African American Beneficiaries 11
Number Of AsianPacific Islander Beneficiaries
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 218
Number Of Beneficiaries With Medicare Medicaid Entitlement 23
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 10
Percent Of With Cancer 23
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 26
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.3039

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