National Provider Identifier [NPI]: |
1942285788 |
Last Name Of The Provider |
WOOD |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 EASTERN SHORE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALISBURY |
Zip Code Of The Provider |
218045565 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
19828 |
Number Of Medicare Beneficiaries |
2064 |
Total Submitted Charge Amount |
1409983.73 |
Total Medicare Allowed Amount |
956829.44 |
Total Medicare Payment Amount |
723561.52 |
Total Medicare Standardized Payment Amount |
721836.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
925 |
Number Of Medicare Beneficiaries With Drug Services |
239 |
Total Drug Submitted ChargeAmount |
50149.4 |
Total Drug Medicare AllowedAmount |
48379.45 |
Total Drug Medicare PaymentAmount |
37492.83 |
Total Drug Medicare Standardized Payment Amount |
37492.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
18903 |
Number Of Medicare Beneficiaries With Medical Services |
2062 |
Total Medical Submitted Charge Amount |
1359834.33 |
Total Medical Medicare Allowed Amount |
908449.99 |
Total Medical Medicare Payment Amount |
686068.69 |
Total Medical Medicare Standardized Payment Amount |
684343.96 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
750 |
Number Of Beneficiaries Age 75 to 84 |
788 |
Number Of Beneficiaries Age Greater 84 |
394 |
Number Of Female Beneficiaries |
1014 |
Number Of Male Beneficiaries |
1050 |
Number Of Non Hispanic White Beneficiaries |
1723 |
Number Of Black or African American Beneficiaries |
311 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5107 |