National Provider Identifier [NPI]: |
1043403801 |
Last Name Of The Provider |
ANUMELE |
First Name Of The Provider |
NKEEKAM |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D., PHARM D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
711 WOOD ST |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
MONROE |
Zip Code Of The Provider |
712017549 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
19546 |
Number Of Medicare Beneficiaries |
955 |
Total Submitted Charge Amount |
2102025.93 |
Total Medicare Allowed Amount |
810465.97 |
Total Medicare Payment Amount |
627221.43 |
Total Medicare Standardized Payment Amount |
673221.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
10913 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
25576.93 |
Total Drug Medicare AllowedAmount |
6550.28 |
Total Drug Medicare PaymentAmount |
5162.73 |
Total Drug Medicare Standardized Payment Amount |
5162.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
8633 |
Number Of Medicare Beneficiaries With Medical Services |
955 |
Total Medical Submitted Charge Amount |
2076449 |
Total Medical Medicare Allowed Amount |
803915.69 |
Total Medical Medicare Payment Amount |
622058.7 |
Total Medical Medicare Standardized Payment Amount |
668058.84 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
334 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
225 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
500 |
Number Of Male Beneficiaries |
455 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
523 |
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 |
414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
541 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
4.8918 |