National Provider Identifier [NPI]: |
1922447820 |
Last Name Of The Provider |
OKAFOR |
First Name Of The Provider |
UZOMA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MSN, FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4730 N HABANA AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336147163 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1078 |
Number Of Medicare Beneficiaries |
248 |
Total Submitted Charge Amount |
650888.98 |
Total Medicare Allowed Amount |
59830.82 |
Total Medicare Payment Amount |
53575.35 |
Total Medicare Standardized Payment Amount |
57525.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
166 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
1733.98 |
Total Drug Medicare AllowedAmount |
306.68 |
Total Drug Medicare PaymentAmount |
251.4 |
Total Drug Medicare Standardized Payment Amount |
251.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
912 |
Number Of Medicare Beneficiaries With Medical Services |
247 |
Total Medical Submitted Charge Amount |
649155 |
Total Medical Medicare Allowed Amount |
59524.14 |
Total Medical Medicare Payment Amount |
53323.95 |
Total Medical Medicare Standardized Payment Amount |
57273.88 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
45 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
150 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
155 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
92 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.571 |