National Provider Identifier [NPI]: |
1447343017 |
Last Name Of The Provider |
OKORONKWO |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1711 W. IRVING BLVD |
Street Address 2 Of The Provider |
STE 151 |
City Of The Provider |
IRVING |
Zip Code Of The Provider |
75061 |
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 |
28 |
Number Of Services |
2156 |
Number Of Medicare Beneficiaries |
273 |
Total Submitted Charge Amount |
649420.24 |
Total Medicare Allowed Amount |
227811.99 |
Total Medicare Payment Amount |
174230.73 |
Total Medicare Standardized Payment Amount |
161002.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
20 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
700 |
Total Drug Medicare AllowedAmount |
521.25 |
Total Drug Medicare PaymentAmount |
510.85 |
Total Drug Medicare Standardized Payment Amount |
510.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2136 |
Number Of Medicare Beneficiaries With Medical Services |
273 |
Total Medical Submitted Charge Amount |
648720.24 |
Total Medical Medicare Allowed Amount |
227290.74 |
Total Medical Medicare Payment Amount |
173719.88 |
Total Medical Medicare Standardized Payment Amount |
160491.73 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
107 |
Number Of Black or African American Beneficiaries |
115 |
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 |
108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.5564 |