National Provider Identifier [NPI]: |
1811961543 |
Last Name Of The Provider |
WOO |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
695 S DOBSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852245665 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
17073 |
Number Of Medicare Beneficiaries |
598 |
Total Submitted Charge Amount |
3944926 |
Total Medicare Allowed Amount |
1925001.56 |
Total Medicare Payment Amount |
1486792.08 |
Total Medicare Standardized Payment Amount |
1508763.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
8716 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
58080 |
Total Drug Medicare AllowedAmount |
18217.82 |
Total Drug Medicare PaymentAmount |
14237.41 |
Total Drug Medicare Standardized Payment Amount |
14237.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
8357 |
Number Of Medicare Beneficiaries With Medical Services |
598 |
Total Medical Submitted Charge Amount |
3886846 |
Total Medical Medicare Allowed Amount |
1906783.74 |
Total Medical Medicare Payment Amount |
1472554.67 |
Total Medical Medicare Standardized Payment Amount |
1494526.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
514 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
564 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
62 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3421 |