National Provider Identifier [NPI]: |
1851549117 |
Last Name Of The Provider |
OJIH |
First Name Of The Provider |
FLORENCE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
RN, ANP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10039 BISSONNET ST |
Street Address 2 Of The Provider |
SUITE 307 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770367854 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
2304 |
Number Of Medicare Beneficiaries |
265 |
Total Submitted Charge Amount |
549280 |
Total Medicare Allowed Amount |
177521.36 |
Total Medicare Payment Amount |
135523.38 |
Total Medicare Standardized Payment Amount |
158649.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
600 |
Total Drug Medicare AllowedAmount |
184.8 |
Total Drug Medicare PaymentAmount |
181.08 |
Total Drug Medicare Standardized Payment Amount |
181.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2292 |
Number Of Medicare Beneficiaries With Medical Services |
265 |
Total Medical Submitted Charge Amount |
548680 |
Total Medical Medicare Allowed Amount |
177336.56 |
Total Medical Medicare Payment Amount |
135342.3 |
Total Medical Medicare Standardized Payment Amount |
158468.36 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
89 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
131 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
181 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
90 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.3261 |