National Provider Identifier [NPI]: |
1255365581 |
Last Name Of The Provider |
OIKNINE |
First Name Of The Provider |
RALPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 S WOODS MILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHESTERFIELD |
Zip Code Of The Provider |
630173625 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
10144 |
Number Of Medicare Beneficiaries |
969 |
Total Submitted Charge Amount |
1056530 |
Total Medicare Allowed Amount |
547356.74 |
Total Medicare Payment Amount |
425249.37 |
Total Medicare Standardized Payment Amount |
397916.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
1440 |
Total Drug Medicare AllowedAmount |
505.9 |
Total Drug Medicare PaymentAmount |
495.85 |
Total Drug Medicare Standardized Payment Amount |
495.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
10108 |
Number Of Medicare Beneficiaries With Medical Services |
969 |
Total Medical Submitted Charge Amount |
1055090 |
Total Medical Medicare Allowed Amount |
546850.84 |
Total Medical Medicare Payment Amount |
424753.52 |
Total Medical Medicare Standardized Payment Amount |
397420.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
542 |
Number Of Male Beneficiaries |
427 |
Number Of Non Hispanic White Beneficiaries |
872 |
Number Of Black or African American Beneficiaries |
66 |
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 |
904 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6831 |