National Provider Identifier [NPI]: |
1821044066 |
Last Name Of The Provider |
WOODS |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2114 N LINCOLN AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
YORK |
Zip Code Of The Provider |
684671028 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
3011 |
Number Of Medicare Beneficiaries |
565 |
Total Submitted Charge Amount |
221970.6 |
Total Medicare Allowed Amount |
112874.25 |
Total Medicare Payment Amount |
78850.65 |
Total Medicare Standardized Payment Amount |
87591.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
254 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
5098 |
Total Drug Medicare AllowedAmount |
2607.54 |
Total Drug Medicare PaymentAmount |
2424.89 |
Total Drug Medicare Standardized Payment Amount |
2424.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
2757 |
Number Of Medicare Beneficiaries With Medical Services |
565 |
Total Medical Submitted Charge Amount |
216872.6 |
Total Medical Medicare Allowed Amount |
110266.71 |
Total Medical Medicare Payment Amount |
76425.76 |
Total Medical Medicare Standardized Payment Amount |
85167.08 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
550 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0893 |