National Provider Identifier [NPI]: |
1083871818 |
Last Name Of The Provider |
AKINWALE |
First Name Of The Provider |
ABUMERE |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
85 E CONCORD ST |
Street Address 2 Of The Provider |
8TH FLOOR |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021182335 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
6320 |
Number Of Medicare Beneficiaries |
950 |
Total Submitted Charge Amount |
3259301.15 |
Total Medicare Allowed Amount |
1374498.3 |
Total Medicare Payment Amount |
1060158.68 |
Total Medicare Standardized Payment Amount |
1096794.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2010 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
1738550.3 |
Total Drug Medicare AllowedAmount |
945750.57 |
Total Drug Medicare PaymentAmount |
737809.23 |
Total Drug Medicare Standardized Payment Amount |
737809.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4310 |
Number Of Medicare Beneficiaries With Medical Services |
950 |
Total Medical Submitted Charge Amount |
1520750.85 |
Total Medical Medicare Allowed Amount |
428747.73 |
Total Medical Medicare Payment Amount |
322349.45 |
Total Medical Medicare Standardized Payment Amount |
358985.33 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
368 |
Number Of Beneficiaries Age 75 to 84 |
291 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
533 |
Number Of Male Beneficiaries |
417 |
Number Of Non Hispanic White Beneficiaries |
686 |
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 |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5212 |