National Provider Identifier [NPI]: |
1962486274 |
Last Name Of The Provider |
SOWADE |
First Name Of The Provider |
OLALEKAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17850 KEDZIE AVE STE 3000 |
Street Address 2 Of The Provider |
#47 |
City Of The Provider |
HAZEL CREST |
Zip Code Of The Provider |
604292086 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
1188 |
Number Of Medicare Beneficiaries |
239 |
Total Submitted Charge Amount |
144344.32 |
Total Medicare Allowed Amount |
115248.03 |
Total Medicare Payment Amount |
85972.91 |
Total Medicare Standardized Payment Amount |
80213.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
600 |
Total Drug Medicare AllowedAmount |
184.8 |
Total Drug Medicare PaymentAmount |
181.08 |
Total Drug Medicare Standardized Payment Amount |
181.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
1176 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
143744.32 |
Total Medical Medicare Allowed Amount |
115063.23 |
Total Medical Medicare Payment Amount |
85791.83 |
Total Medical Medicare Standardized Payment Amount |
80032.6 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
191 |
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 |
91 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
148 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1712 |