National Provider Identifier [NPI]: |
1477695088 |
Last Name Of The Provider |
AKINSANYA |
First Name Of The Provider |
OLAJIDE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 S 3RD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GADSDEN |
Zip Code Of The Provider |
359014210 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
3868 |
Number Of Medicare Beneficiaries |
541 |
Total Submitted Charge Amount |
244276 |
Total Medicare Allowed Amount |
241844.18 |
Total Medicare Payment Amount |
167583.44 |
Total Medicare Standardized Payment Amount |
190070.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
1869 |
Total Drug Medicare AllowedAmount |
1093.96 |
Total Drug Medicare PaymentAmount |
943.04 |
Total Drug Medicare Standardized Payment Amount |
943.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3701 |
Number Of Medicare Beneficiaries With Medical Services |
541 |
Total Medical Submitted Charge Amount |
242407 |
Total Medical Medicare Allowed Amount |
240750.22 |
Total Medical Medicare Payment Amount |
166640.4 |
Total Medical Medicare Standardized Payment Amount |
189127.02 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
333 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
269 |
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 |
242 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7864 |