National Provider Identifier [NPI]: |
1932205739 |
Last Name Of The Provider |
AYODEJI |
First Name Of The Provider |
OLAYIWOLA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D, MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 BUTLER FARM RD |
Street Address 2 Of The Provider |
STE. I |
City Of The Provider |
HAMPTON |
Zip Code Of The Provider |
236661564 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
10772 |
Number Of Medicare Beneficiaries |
747 |
Total Submitted Charge Amount |
867309 |
Total Medicare Allowed Amount |
464272.74 |
Total Medicare Payment Amount |
346238.79 |
Total Medicare Standardized Payment Amount |
363548.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
7130 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
89245 |
Total Drug Medicare AllowedAmount |
26973.31 |
Total Drug Medicare PaymentAmount |
20895.93 |
Total Drug Medicare Standardized Payment Amount |
20895.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3642 |
Number Of Medicare Beneficiaries With Medical Services |
747 |
Total Medical Submitted Charge Amount |
778064 |
Total Medical Medicare Allowed Amount |
437299.43 |
Total Medical Medicare Payment Amount |
325342.86 |
Total Medical Medicare Standardized Payment Amount |
342652.55 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
280 |
Number Of Beneficiaries Age 65 to 74 |
212 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
181 |
Number Of Black or African American Beneficiaries |
542 |
Number Of AsianPacific Islander Beneficiaries |
13 |
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 |
538 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
5.4017 |