National Provider Identifier [NPI]: |
1861719593 |
Last Name Of The Provider |
MOLOKWU |
First Name Of The Provider |
REGINA |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
691 MURPHY RD. |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
975044311 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
521 |
Number Of Medicare Beneficiaries |
163 |
Total Submitted Charge Amount |
97788.26 |
Total Medicare Allowed Amount |
39076.59 |
Total Medicare Payment Amount |
29301.98 |
Total Medicare Standardized Payment Amount |
30427.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
86 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
5154.26 |
Total Drug Medicare AllowedAmount |
2518.35 |
Total Drug Medicare PaymentAmount |
2459.78 |
Total Drug Medicare Standardized Payment Amount |
2459.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
435 |
Number Of Medicare Beneficiaries With Medical Services |
163 |
Total Medical Submitted Charge Amount |
92634 |
Total Medical Medicare Allowed Amount |
36558.24 |
Total Medical Medicare Payment Amount |
26842.2 |
Total Medical Medicare Standardized Payment Amount |
27967.47 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
64 |
Number Of Beneficiaries Age 75 to 84 |
29 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
110 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
109 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1707 |