National Provider Identifier [NPI]: |
1629133103 |
Last Name Of The Provider |
OKUNDAYE |
First Name Of The Provider |
OSAGIE |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4550 COBB PARKWAY NORTH NW |
Street Address 2 Of The Provider |
SUITE 213 |
City Of The Provider |
ACWORTH |
Zip Code Of The Provider |
301014180 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
5807 |
Number Of Medicare Beneficiaries |
1948 |
Total Submitted Charge Amount |
590071 |
Total Medicare Allowed Amount |
278839.3 |
Total Medicare Payment Amount |
208214.91 |
Total Medicare Standardized Payment Amount |
210025.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5807 |
Number Of Medicare Beneficiaries With Medical Services |
1948 |
Total Medical Submitted Charge Amount |
590071 |
Total Medical Medicare Allowed Amount |
278839.3 |
Total Medical Medicare Payment Amount |
208214.91 |
Total Medical Medicare Standardized Payment Amount |
210025.09 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
747 |
Number Of Beneficiaries Age 75 to 84 |
675 |
Number Of Beneficiaries Age Greater 84 |
332 |
Number Of Female Beneficiaries |
1044 |
Number Of Male Beneficiaries |
904 |
Number Of Non Hispanic White Beneficiaries |
1654 |
Number Of Black or African American Beneficiaries |
208 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1656 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.9094 |