National Provider Identifier [NPI]: |
1497791917 |
Last Name Of The Provider |
MAJEKODUNMI |
First Name Of The Provider |
KUNMI |
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 |
1600 CRAIN HWY S |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
GLEN BURNIE |
Zip Code Of The Provider |
210615577 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
4496 |
Number Of Medicare Beneficiaries |
846 |
Total Submitted Charge Amount |
590692 |
Total Medicare Allowed Amount |
386459.79 |
Total Medicare Payment Amount |
295715.06 |
Total Medicare Standardized Payment Amount |
280952.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
119 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
5957 |
Total Drug Medicare AllowedAmount |
2745.41 |
Total Drug Medicare PaymentAmount |
2687.48 |
Total Drug Medicare Standardized Payment Amount |
2687.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
4377 |
Number Of Medicare Beneficiaries With Medical Services |
846 |
Total Medical Submitted Charge Amount |
584735 |
Total Medical Medicare Allowed Amount |
383714.38 |
Total Medical Medicare Payment Amount |
293027.58 |
Total Medical Medicare Standardized Payment Amount |
278265.01 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
191 |
Number Of Female Beneficiaries |
523 |
Number Of Male Beneficiaries |
323 |
Number Of Non Hispanic White Beneficiaries |
639 |
Number Of Black or African American Beneficiaries |
176 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
577 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.3851 |