National Provider Identifier [NPI]: |
1467409078 |
Last Name Of The Provider |
OSUJI |
First Name Of The Provider |
IKECHUKWU |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 W PLEASANT RUN RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
751461079 |
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 |
89 |
Number Of Services |
8663 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
647638 |
Total Medicare Allowed Amount |
380642.87 |
Total Medicare Payment Amount |
291539.4 |
Total Medicare Standardized Payment Amount |
287108.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
619 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
17065 |
Total Drug Medicare AllowedAmount |
1595.6 |
Total Drug Medicare PaymentAmount |
1490.56 |
Total Drug Medicare Standardized Payment Amount |
1490.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
8044 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
630573 |
Total Medical Medicare Allowed Amount |
379047.27 |
Total Medical Medicare Payment Amount |
290048.84 |
Total Medical Medicare Standardized Payment Amount |
285618.31 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
185 |
Number Of Non Hispanic White Beneficiaries |
125 |
Number Of Black or African American Beneficiaries |
305 |
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 |
184 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.3933 |