National Provider Identifier [NPI]: |
1871581512 |
Last Name Of The Provider |
GREGSTON |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2004 N HIGHWAY 81 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUNCAN |
Zip Code Of The Provider |
735331460 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
3008 |
Number Of Medicare Beneficiaries |
1049 |
Total Submitted Charge Amount |
491646.07 |
Total Medicare Allowed Amount |
138285.43 |
Total Medicare Payment Amount |
92663.28 |
Total Medicare Standardized Payment Amount |
101823.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
977 |
Number Of Medicare Beneficiaries With Drug Services |
328 |
Total Drug Submitted ChargeAmount |
11429.07 |
Total Drug Medicare AllowedAmount |
3210.94 |
Total Drug Medicare PaymentAmount |
2336.83 |
Total Drug Medicare Standardized Payment Amount |
2336.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
2031 |
Number Of Medicare Beneficiaries With Medical Services |
1041 |
Total Medical Submitted Charge Amount |
480217 |
Total Medical Medicare Allowed Amount |
135074.49 |
Total Medical Medicare Payment Amount |
90326.45 |
Total Medical Medicare Standardized Payment Amount |
99486.45 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
427 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
614 |
Number Of Male Beneficiaries |
435 |
Number Of Non Hispanic White Beneficiaries |
965 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
39 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
858 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1826 |