National Provider Identifier [NPI]: |
1942358643 |
Last Name Of The Provider |
OKERBLOM |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1145 E CLARK AVE STE F |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA MARIA |
Zip Code Of The Provider |
934555169 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
3547 |
Number Of Medicare Beneficiaries |
766 |
Total Submitted Charge Amount |
404295 |
Total Medicare Allowed Amount |
322631.71 |
Total Medicare Payment Amount |
229085.11 |
Total Medicare Standardized Payment Amount |
222189.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
118 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
4426 |
Total Drug Medicare AllowedAmount |
3084 |
Total Drug Medicare PaymentAmount |
2988.05 |
Total Drug Medicare Standardized Payment Amount |
2988.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3429 |
Number Of Medicare Beneficiaries With Medical Services |
766 |
Total Medical Submitted Charge Amount |
399869 |
Total Medical Medicare Allowed Amount |
319547.71 |
Total Medical Medicare Payment Amount |
226097.06 |
Total Medical Medicare Standardized Payment Amount |
219201.71 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
387 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
660 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9015 |