National Provider Identifier [NPI]: |
1811166721 |
Last Name Of The Provider |
AMAKIRI |
First Name Of The Provider |
ONYEMA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10201 GATEWAY BLVD W |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799257652 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
6100 |
Number Of Medicare Beneficiaries |
623 |
Total Submitted Charge Amount |
535388.27 |
Total Medicare Allowed Amount |
523274.41 |
Total Medicare Payment Amount |
391425.07 |
Total Medicare Standardized Payment Amount |
422851.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
199 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
3230 |
Total Drug Medicare AllowedAmount |
1319.39 |
Total Drug Medicare PaymentAmount |
1231.98 |
Total Drug Medicare Standardized Payment Amount |
1231.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
5901 |
Number Of Medicare Beneficiaries With Medical Services |
623 |
Total Medical Submitted Charge Amount |
532158.27 |
Total Medical Medicare Allowed Amount |
521955.02 |
Total Medical Medicare Payment Amount |
390193.09 |
Total Medical Medicare Standardized Payment Amount |
421619.29 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
362 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
145 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
433 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
299 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.617 |