National Provider Identifier [NPI]: |
1073576377 |
Last Name Of The Provider |
O'KEEFE |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8700 STONY POINT PKWY |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232351962 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
13393 |
Number Of Medicare Beneficiaries |
1523 |
Total Submitted Charge Amount |
4254749.95 |
Total Medicare Allowed Amount |
3207956.74 |
Total Medicare Payment Amount |
2469778.09 |
Total Medicare Standardized Payment Amount |
2483050.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
4753 |
Number Of Medicare Beneficiaries With Drug Services |
326 |
Total Drug Submitted ChargeAmount |
2543635.15 |
Total Drug Medicare AllowedAmount |
2307141.29 |
Total Drug Medicare PaymentAmount |
1802293.7 |
Total Drug Medicare Standardized Payment Amount |
1802293.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
8640 |
Number Of Medicare Beneficiaries With Medical Services |
1522 |
Total Medical Submitted Charge Amount |
1711114.8 |
Total Medical Medicare Allowed Amount |
900815.45 |
Total Medical Medicare Payment Amount |
667484.39 |
Total Medical Medicare Standardized Payment Amount |
680756.39 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
603 |
Number Of Beneficiaries Age 75 to 84 |
509 |
Number Of Beneficiaries Age Greater 84 |
326 |
Number Of Female Beneficiaries |
886 |
Number Of Male Beneficiaries |
637 |
Number Of Non Hispanic White Beneficiaries |
1271 |
Number Of Black or African American Beneficiaries |
206 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1376 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3432 |