National Provider Identifier [NPI]: |
1912017690 |
Last Name Of The Provider |
OLUWEHINMI |
First Name Of The Provider |
FOLA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3022 WILLIAMS DR STE 300 |
Street Address 2 Of The Provider |
INTERNAL MEDICINE/GERIATRICS |
City Of The Provider |
FAIRFAX |
Zip Code Of The Provider |
220314600 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
2074 |
Number Of Medicare Beneficiaries |
341 |
Total Submitted Charge Amount |
149065 |
Total Medicare Allowed Amount |
97877.23 |
Total Medicare Payment Amount |
76717.89 |
Total Medicare Standardized Payment Amount |
70273.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
8962 |
Total Drug Medicare AllowedAmount |
7133.68 |
Total Drug Medicare PaymentAmount |
6986.24 |
Total Drug Medicare Standardized Payment Amount |
6986.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
1961 |
Number Of Medicare Beneficiaries With Medical Services |
341 |
Total Medical Submitted Charge Amount |
140103 |
Total Medical Medicare Allowed Amount |
90743.55 |
Total Medical Medicare Payment Amount |
69731.65 |
Total Medical Medicare Standardized Payment Amount |
63287.06 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
129 |
Number Of Non Hispanic White Beneficiaries |
279 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
325 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9221 |