National Provider Identifier [NPI]: |
1417931148 |
Last Name Of The Provider |
POBEE |
First Name Of The Provider |
KOJO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4514 COLE AVE |
Street Address 2 Of The Provider |
SUITE 625 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752055412 |
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 |
19 |
Number Of Services |
7324 |
Number Of Medicare Beneficiaries |
945 |
Total Submitted Charge Amount |
669745.23 |
Total Medicare Allowed Amount |
499842.78 |
Total Medicare Payment Amount |
378478.36 |
Total Medicare Standardized Payment Amount |
388497.25 |
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 |
19 |
Number Of Medical Services |
7324 |
Number Of Medicare Beneficiaries With Medical Services |
945 |
Total Medical Submitted Charge Amount |
669745.23 |
Total Medical Medicare Allowed Amount |
499842.78 |
Total Medical Medicare Payment Amount |
378478.36 |
Total Medical Medicare Standardized Payment Amount |
388497.25 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
338 |
Number Of Female Beneficiaries |
606 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
686 |
Number Of Black or African American Beneficiaries |
175 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
541 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
71 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
61 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.6399 |