National Provider Identifier [NPI]: |
1730141672 |
Last Name Of The Provider |
WOOD |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 BLUE RIDGE DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCCAYSVILLE |
Zip Code Of The Provider |
30555 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
26119 |
Number Of Medicare Beneficiaries |
397 |
Total Submitted Charge Amount |
643052.5 |
Total Medicare Allowed Amount |
456609.82 |
Total Medicare Payment Amount |
337645.81 |
Total Medicare Standardized Payment Amount |
364066.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
16592 |
Number Of Medicare Beneficiaries With Drug Services |
366 |
Total Drug Submitted ChargeAmount |
80547.5 |
Total Drug Medicare AllowedAmount |
13255.61 |
Total Drug Medicare PaymentAmount |
11023.03 |
Total Drug Medicare Standardized Payment Amount |
11023.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
9527 |
Number Of Medicare Beneficiaries With Medical Services |
397 |
Total Medical Submitted Charge Amount |
562505 |
Total Medical Medicare Allowed Amount |
443354.21 |
Total Medical Medicare Payment Amount |
326622.78 |
Total Medical Medicare Standardized Payment Amount |
353043.54 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
205 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
243 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9128 |