National Provider Identifier [NPI]: |
1346432507 |
Last Name Of The Provider |
IGBOKWE |
First Name Of The Provider |
EME |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 PARK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOWLING GREEN |
Zip Code Of The Provider |
421011759 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
8451 |
Number Of Medicare Beneficiaries |
943 |
Total Submitted Charge Amount |
1009043 |
Total Medicare Allowed Amount |
509404.64 |
Total Medicare Payment Amount |
390450.2 |
Total Medicare Standardized Payment Amount |
410884.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2870 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
29443 |
Total Drug Medicare AllowedAmount |
18914.02 |
Total Drug Medicare PaymentAmount |
14825.9 |
Total Drug Medicare Standardized Payment Amount |
14825.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
5581 |
Number Of Medicare Beneficiaries With Medical Services |
943 |
Total Medical Submitted Charge Amount |
979600 |
Total Medical Medicare Allowed Amount |
490490.62 |
Total Medical Medicare Payment Amount |
375624.3 |
Total Medical Medicare Standardized Payment Amount |
396058.44 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
275 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
555 |
Number Of Male Beneficiaries |
388 |
Number Of Non Hispanic White Beneficiaries |
879 |
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 |
563 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
380 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
31 |
Average HCC Risk Score Of Beneficiaries |
1.6666 |