National Provider Identifier [NPI]: |
1083615272 |
Last Name Of The Provider |
HOOD |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8350 RIVERWALK PARK BLVD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339198759 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
13784.5 |
Number Of Medicare Beneficiaries |
862 |
Total Submitted Charge Amount |
1841850 |
Total Medicare Allowed Amount |
714113.86 |
Total Medicare Payment Amount |
545267.8 |
Total Medicare Standardized Payment Amount |
502041.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
8302.5 |
Number Of Medicare Beneficiaries With Drug Services |
542 |
Total Drug Submitted ChargeAmount |
101845 |
Total Drug Medicare AllowedAmount |
24678.85 |
Total Drug Medicare PaymentAmount |
19246.58 |
Total Drug Medicare Standardized Payment Amount |
19246.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
5482 |
Number Of Medicare Beneficiaries With Medical Services |
862 |
Total Medical Submitted Charge Amount |
1740005 |
Total Medical Medicare Allowed Amount |
689435.01 |
Total Medical Medicare Payment Amount |
526021.22 |
Total Medical Medicare Standardized Payment Amount |
482795.12 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
485 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
800 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
796 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1112 |