National Provider Identifier [NPI]: |
1932186558 |
Last Name Of The Provider |
OLENEK |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
960 37TH PL |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329606586 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
5201 |
Number Of Medicare Beneficiaries |
725 |
Total Submitted Charge Amount |
594176.88 |
Total Medicare Allowed Amount |
243778.22 |
Total Medicare Payment Amount |
172951.92 |
Total Medicare Standardized Payment Amount |
168605.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
1681 |
Number Of Medicare Beneficiaries With Drug Services |
388 |
Total Drug Submitted ChargeAmount |
13817.06 |
Total Drug Medicare AllowedAmount |
2258.04 |
Total Drug Medicare PaymentAmount |
1707.09 |
Total Drug Medicare Standardized Payment Amount |
1707.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
3520 |
Number Of Medicare Beneficiaries With Medical Services |
725 |
Total Medical Submitted Charge Amount |
580359.82 |
Total Medical Medicare Allowed Amount |
241520.18 |
Total Medical Medicare Payment Amount |
171244.83 |
Total Medical Medicare Standardized Payment Amount |
166898.13 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
258 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
392 |
Number Of Male Beneficiaries |
333 |
Number Of Non Hispanic White Beneficiaries |
700 |
Number Of Black or African American Beneficiaries |
|
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 |
709 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0272 |