National Provider Identifier [NPI]: |
1760433908 |
Last Name Of The Provider |
OGUNDIPE |
First Name Of The Provider |
AKINOLA |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
609 VIRGINIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PONCA CITY |
Zip Code Of The Provider |
746012911 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
72114 |
Number Of Medicare Beneficiaries |
920 |
Total Submitted Charge Amount |
3855162.27 |
Total Medicare Allowed Amount |
1905602.38 |
Total Medicare Payment Amount |
1488990.22 |
Total Medicare Standardized Payment Amount |
1504800.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
48 |
Number Of Drug Services |
59731 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
2972772.36 |
Total Drug Medicare AllowedAmount |
1473127.7 |
Total Drug Medicare PaymentAmount |
1153964 |
Total Drug Medicare Standardized Payment Amount |
1153964 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
12383 |
Number Of Medicare Beneficiaries With Medical Services |
920 |
Total Medical Submitted Charge Amount |
882389.91 |
Total Medical Medicare Allowed Amount |
432474.68 |
Total Medical Medicare Payment Amount |
335026.22 |
Total Medical Medicare Standardized Payment Amount |
350836.93 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
338 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
565 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
821 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
53 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
723 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6899 |