National Provider Identifier [NPI]: |
1336256726 |
Last Name Of The Provider |
OLOWOYEYE |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1801 E MARCH LN |
Street Address 2 Of The Provider |
SUITE A-170 |
City Of The Provider |
STOCKTON |
Zip Code Of The Provider |
952106629 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
4245 |
Number Of Medicare Beneficiaries |
1068 |
Total Submitted Charge Amount |
1474160.5 |
Total Medicare Allowed Amount |
479786.63 |
Total Medicare Payment Amount |
365466.52 |
Total Medicare Standardized Payment Amount |
352839.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
686 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
95933.5 |
Total Drug Medicare AllowedAmount |
32464.73 |
Total Drug Medicare PaymentAmount |
25452.37 |
Total Drug Medicare Standardized Payment Amount |
25452.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
3559 |
Number Of Medicare Beneficiaries With Medical Services |
1068 |
Total Medical Submitted Charge Amount |
1378227 |
Total Medical Medicare Allowed Amount |
447321.9 |
Total Medical Medicare Payment Amount |
340014.15 |
Total Medical Medicare Standardized Payment Amount |
327387.47 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
161 |
Number Of Beneficiaries Age 65 to 74 |
419 |
Number Of Beneficiaries Age 75 to 84 |
318 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
603 |
Number Of Male Beneficiaries |
465 |
Number Of Non Hispanic White Beneficiaries |
507 |
Number Of Black or African American Beneficiaries |
242 |
Number Of AsianPacific Islander Beneficiaries |
103 |
Number Of Hispanic Beneficiaries |
189 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
456 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7252 |