National Provider Identifier [NPI]: |
1487712808 |
Last Name Of The Provider |
ODUYE |
First Name Of The Provider |
ADEDAPO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 GENESSEE ST |
Street Address 2 Of The Provider |
561 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641021039 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1239 |
Number Of Medicare Beneficiaries |
852 |
Total Submitted Charge Amount |
843232 |
Total Medicare Allowed Amount |
148280.17 |
Total Medicare Payment Amount |
113829.5 |
Total Medicare Standardized Payment Amount |
116987.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1239 |
Number Of Medicare Beneficiaries With Medical Services |
852 |
Total Medical Submitted Charge Amount |
843232 |
Total Medical Medicare Allowed Amount |
148280.17 |
Total Medical Medicare Payment Amount |
113829.5 |
Total Medical Medicare Standardized Payment Amount |
116987.6 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
332 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
474 |
Number Of Male Beneficiaries |
378 |
Number Of Non Hispanic White Beneficiaries |
807 |
Number Of Black or African American Beneficiaries |
32 |
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 |
421 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
431 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8705 |