National Provider Identifier [NPI]: |
1760442776 |
Last Name Of The Provider |
HOOD |
First Name Of The Provider |
ALEC |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
611 S MARSHALL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCLEANSBORO |
Zip Code Of The Provider |
62859 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
1691 |
Number Of Medicare Beneficiaries |
352 |
Total Submitted Charge Amount |
132282.9 |
Total Medicare Allowed Amount |
91313.64 |
Total Medicare Payment Amount |
60909.2 |
Total Medicare Standardized Payment Amount |
65530.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
110 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
2192.5 |
Total Drug Medicare AllowedAmount |
1346.78 |
Total Drug Medicare PaymentAmount |
1131.26 |
Total Drug Medicare Standardized Payment Amount |
1131.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1581 |
Number Of Medicare Beneficiaries With Medical Services |
352 |
Total Medical Submitted Charge Amount |
130090.4 |
Total Medical Medicare Allowed Amount |
89966.86 |
Total Medical Medicare Payment Amount |
59777.94 |
Total Medical Medicare Standardized Payment Amount |
64399.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
153 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
194 |
Number Of Male Beneficiaries |
158 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
6 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
14 |
Percent Of With Hypertension |
34 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
19 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.769 |