National Provider Identifier [NPI]: |
1043269368 |
Last Name Of The Provider |
WOODARD |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2106 HARRISBURG PIKE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176012644 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
7438 |
Number Of Medicare Beneficiaries |
866 |
Total Submitted Charge Amount |
659965.45 |
Total Medicare Allowed Amount |
226882.47 |
Total Medicare Payment Amount |
167568.41 |
Total Medicare Standardized Payment Amount |
174560.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
4246 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
28771 |
Total Drug Medicare AllowedAmount |
10005.26 |
Total Drug Medicare PaymentAmount |
7117.16 |
Total Drug Medicare Standardized Payment Amount |
7117.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
3192 |
Number Of Medicare Beneficiaries With Medical Services |
866 |
Total Medical Submitted Charge Amount |
631194.45 |
Total Medical Medicare Allowed Amount |
216877.21 |
Total Medical Medicare Payment Amount |
160451.25 |
Total Medical Medicare Standardized Payment Amount |
167443.17 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
588 |
Number Of Non Hispanic White Beneficiaries |
822 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
787 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5019 |