National Provider Identifier [NPI]: |
1215158456 |
Last Name Of The Provider |
OKUHARA |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8340 LAKEWOOD RANCH BLVD |
Street Address 2 Of The Provider |
SUITE 290 |
City Of The Provider |
LAKEWOOD RANCH |
Zip Code Of The Provider |
342025180 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
3471 |
Number Of Medicare Beneficiaries |
1080 |
Total Submitted Charge Amount |
671217.49 |
Total Medicare Allowed Amount |
349089.56 |
Total Medicare Payment Amount |
262358.34 |
Total Medicare Standardized Payment Amount |
262192.3 |
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 |
79 |
Number Of Medical Services |
3471 |
Number Of Medicare Beneficiaries With Medical Services |
1080 |
Total Medical Submitted Charge Amount |
671217.49 |
Total Medical Medicare Allowed Amount |
349089.56 |
Total Medical Medicare Payment Amount |
262358.34 |
Total Medical Medicare Standardized Payment Amount |
262192.3 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
436 |
Number Of Beneficiaries Age 75 to 84 |
390 |
Number Of Beneficiaries Age Greater 84 |
190 |
Number Of Female Beneficiaries |
555 |
Number Of Male Beneficiaries |
525 |
Number Of Non Hispanic White Beneficiaries |
1001 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
990 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4014 |