National Provider Identifier [NPI]: |
1164694337 |
Last Name Of The Provider |
SOKUNBI |
First Name Of The Provider |
AKINTAYO |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4011 ORCHARD DR |
Street Address 2 Of The Provider |
SUITE 3000 |
City Of The Provider |
MIDLAND |
Zip Code Of The Provider |
486406190 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1051 |
Number Of Medicare Beneficiaries |
351 |
Total Submitted Charge Amount |
180432 |
Total Medicare Allowed Amount |
82625.91 |
Total Medicare Payment Amount |
64656.94 |
Total Medicare Standardized Payment Amount |
66647.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
299 |
Total Drug Medicare AllowedAmount |
233.74 |
Total Drug Medicare PaymentAmount |
229.06 |
Total Drug Medicare Standardized Payment Amount |
229.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1038 |
Number Of Medicare Beneficiaries With Medical Services |
351 |
Total Medical Submitted Charge Amount |
180133 |
Total Medical Medicare Allowed Amount |
82392.17 |
Total Medical Medicare Payment Amount |
64427.88 |
Total Medical Medicare Standardized Payment Amount |
66418.07 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
339 |
Number Of Black or African American Beneficiaries |
|
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 |
254 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9011 |