National Provider Identifier [NPI]: |
1881897288 |
Last Name Of The Provider |
OGBU |
First Name Of The Provider |
CHIJIOKE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D., MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
614 FURMAN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784042325 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
22217 |
Number Of Medicare Beneficiaries |
627 |
Total Submitted Charge Amount |
4364497 |
Total Medicare Allowed Amount |
1486570.56 |
Total Medicare Payment Amount |
1156644.82 |
Total Medicare Standardized Payment Amount |
1253535.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
18875 |
Number Of Medicare Beneficiaries With Drug Services |
321 |
Total Drug Submitted ChargeAmount |
30755 |
Total Drug Medicare AllowedAmount |
10923.65 |
Total Drug Medicare PaymentAmount |
8556.61 |
Total Drug Medicare Standardized Payment Amount |
8556.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
3342 |
Number Of Medicare Beneficiaries With Medical Services |
627 |
Total Medical Submitted Charge Amount |
4333742 |
Total Medical Medicare Allowed Amount |
1475646.91 |
Total Medical Medicare Payment Amount |
1148088.21 |
Total Medical Medicare Standardized Payment Amount |
1244978.55 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
285 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
306 |
Number Of Male Beneficiaries |
321 |
Number Of Non Hispanic White Beneficiaries |
161 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
419 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
67 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
7.1212 |