National Provider Identifier [NPI]: |
1710968433 |
Last Name Of The Provider |
OKOH |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11375 CORTEZ BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKSVILLE |
Zip Code Of The Provider |
346135409 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
276 |
Number Of Services |
12704 |
Number Of Medicare Beneficiaries |
6272 |
Total Submitted Charge Amount |
2312282 |
Total Medicare Allowed Amount |
444216.31 |
Total Medicare Payment Amount |
346365 |
Total Medicare Standardized Payment Amount |
345596.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
276 |
Number Of Medical Services |
12704 |
Number Of Medicare Beneficiaries With Medical Services |
6272 |
Total Medical Submitted Charge Amount |
2312282 |
Total Medical Medicare Allowed Amount |
444216.31 |
Total Medical Medicare Payment Amount |
346365 |
Total Medical Medicare Standardized Payment Amount |
345596.38 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
655 |
Number Of Beneficiaries Age 65 to 74 |
2040 |
Number Of Beneficiaries Age 75 to 84 |
2229 |
Number Of Beneficiaries Age Greater 84 |
1348 |
Number Of Female Beneficiaries |
3737 |
Number Of Male Beneficiaries |
2535 |
Number Of Non Hispanic White Beneficiaries |
5802 |
Number Of Black or African American Beneficiaries |
159 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
237 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
5380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
892 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7407 |