National Provider Identifier [NPI]: |
1558451435 |
Last Name Of The Provider |
WOODS |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5528 N FARMER BRANCH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OZARK |
Zip Code Of The Provider |
657215315 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
8850 |
Number Of Medicare Beneficiaries |
732 |
Total Submitted Charge Amount |
543335.34 |
Total Medicare Allowed Amount |
398899.56 |
Total Medicare Payment Amount |
289673.06 |
Total Medicare Standardized Payment Amount |
308835.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1758 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
24607 |
Total Drug Medicare AllowedAmount |
18933.37 |
Total Drug Medicare PaymentAmount |
16711.93 |
Total Drug Medicare Standardized Payment Amount |
16711.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
7092 |
Number Of Medicare Beneficiaries With Medical Services |
732 |
Total Medical Submitted Charge Amount |
518728.34 |
Total Medical Medicare Allowed Amount |
379966.19 |
Total Medical Medicare Payment Amount |
272961.13 |
Total Medical Medicare Standardized Payment Amount |
292123.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
291 |
Number Of Non Hispanic White Beneficiaries |
715 |
Number Of Black or African American Beneficiaries |
0 |
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 |
641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9948 |