National Provider Identifier [NPI]: |
1982037438 |
Last Name Of The Provider |
ONYEMAUWA |
First Name Of The Provider |
NNENNA |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
PA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5907 BERRYHILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MILTON |
Zip Code Of The Provider |
325708278 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
660 |
Number Of Medicare Beneficiaries |
287 |
Total Submitted Charge Amount |
52931.75 |
Total Medicare Allowed Amount |
36948.18 |
Total Medicare Payment Amount |
25895.02 |
Total Medicare Standardized Payment Amount |
31511.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
662 |
Total Drug Medicare AllowedAmount |
313.77 |
Total Drug Medicare PaymentAmount |
278.08 |
Total Drug Medicare Standardized Payment Amount |
278.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
635 |
Number Of Medicare Beneficiaries With Medical Services |
287 |
Total Medical Submitted Charge Amount |
52269.75 |
Total Medical Medicare Allowed Amount |
36634.41 |
Total Medical Medicare Payment Amount |
25616.94 |
Total Medical Medicare Standardized Payment Amount |
31233.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
254 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
203 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.2255 |