National Provider Identifier [NPI]: |
1861414708 |
Last Name Of The Provider |
ADESOJI |
First Name Of The Provider |
GAFAR |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8412 AIRWAYS BLVD |
Street Address 2 Of The Provider |
BUILDING C,SUITE 5B |
City Of The Provider |
SOUTHAVEN |
Zip Code Of The Provider |
386715140 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
4222 |
Number Of Medicare Beneficiaries |
729 |
Total Submitted Charge Amount |
463367 |
Total Medicare Allowed Amount |
271172.03 |
Total Medicare Payment Amount |
193648.27 |
Total Medicare Standardized Payment Amount |
211049.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
217 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
6972 |
Total Drug Medicare AllowedAmount |
4003 |
Total Drug Medicare PaymentAmount |
3848.38 |
Total Drug Medicare Standardized Payment Amount |
3848.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4005 |
Number Of Medicare Beneficiaries With Medical Services |
729 |
Total Medical Submitted Charge Amount |
456395 |
Total Medical Medicare Allowed Amount |
267169.03 |
Total Medical Medicare Payment Amount |
189799.89 |
Total Medical Medicare Standardized Payment Amount |
207201.17 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
177 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
273 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
442 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
413 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0101 |