National Provider Identifier [NPI]: |
1083842199 |
Last Name Of The Provider |
OKEREKE |
First Name Of The Provider |
CHETACHI |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D, M.B.B.S |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1840 SAN MIGUEL DR |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945968602 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
14 |
Number Of Services |
613 |
Number Of Medicare Beneficiaries |
174 |
Total Submitted Charge Amount |
115685 |
Total Medicare Allowed Amount |
70153.69 |
Total Medicare Payment Amount |
53298.23 |
Total Medicare Standardized Payment Amount |
47441.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
1005 |
Total Drug Medicare AllowedAmount |
162.43 |
Total Drug Medicare PaymentAmount |
127.34 |
Total Drug Medicare Standardized Payment Amount |
127.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
522 |
Number Of Medicare Beneficiaries With Medical Services |
174 |
Total Medical Submitted Charge Amount |
114680 |
Total Medical Medicare Allowed Amount |
69991.26 |
Total Medical Medicare Payment Amount |
53170.89 |
Total Medical Medicare Standardized Payment Amount |
47313.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
127 |
Number Of Male Beneficiaries |
47 |
Number Of Non Hispanic White Beneficiaries |
147 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2052 |