Mbanefo Ojukwu MD

Gender: M
Medical School: Other
Graduation Year: 1994
Primary Specialty: Internal Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted13
Total Provider Services933
Total Medicare beneficiaries receiving the provider services362
The total charges that the provider submitted for all services$154,731.00
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$88,146.47
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$65,557.59
Total Medicare Standardized Payment Amount$67,809.29
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File0
Total drug services, as defined from the Medicare Part B Drug ASP File0
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.0
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$0.00
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$0.00
Total number of HCPCS codes associated with medical (non-ASP) services13
Total medical (non-ASP) services933
Total Medicare beneficiaries receiving medical (non-ASP) services362
The total charges that the provider submitted for medical services (non-ASP)$154,731.00
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$88,146.47
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$65,557.59
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$67,809.29
Average age of beneficiaries74
Number of beneficiaries under the age of 6567
Number of beneficiaries between the ages of 65 and 7499
Number of beneficiaries between the ages of 75 and 84121
Number of beneficiaries over the age of 8475
Number of Female beneficiaries199
Number of Male Beneficiaries163
Number of Non-Hispanic White Beneficiaries351
Number of Asian Pacific Islander Beneficiaries0
Number of American Indian/Alaska Native Beneficiaries0
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year252
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits110
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation28%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma12%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure50%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression46%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes46%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia71%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke15%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.4384

Source: data.cms.gov

Mbanefo Ojukwu MD's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Hospital observation care discharge 69 67 69 $71.9 $125.0 $55.71 224%
Hospital observation care typically 70 minutes per day 62 60 62 $184.14 $321.0 $135.49 237%
Initial hospital inpatient care, typically 70 minutes per day 94 91 94 $200.21 $352.0 $148.93 236%
Subsequent hospital inpatient care, typically 15 minutes per day 125 92 125 $38.98 $68.0 $30.38 224%
Subsequent hospital inpatient care, typically 25 minutes per day 285 181 285 $71.56 $125.0 $52.26 239%
Subsequent hospital inpatient care, typically 35 minutes per day 105 79 105 $103.48 $180.0 $76.11 236%
Hospital discharge day management, 30 minutes or less 161 145 161 $71.54 $125.0 $52.76 237%
Source: 2017 Provider CMS Charge Data