National Provider Identifier [NPI]: |
1407052996 |
Last Name Of The Provider |
WOOD |
First Name Of The Provider |
MEGAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2290 W. EAU GALLIE BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329353134 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
2302 |
Number Of Medicare Beneficiaries |
417 |
Total Submitted Charge Amount |
198080.6 |
Total Medicare Allowed Amount |
116408.58 |
Total Medicare Payment Amount |
85767.26 |
Total Medicare Standardized Payment Amount |
86305.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1226 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
29982.6 |
Total Drug Medicare AllowedAmount |
17864.79 |
Total Drug Medicare PaymentAmount |
14105.87 |
Total Drug Medicare Standardized Payment Amount |
14105.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1076 |
Number Of Medicare Beneficiaries With Medical Services |
417 |
Total Medical Submitted Charge Amount |
168098 |
Total Medical Medicare Allowed Amount |
98543.79 |
Total Medical Medicare Payment Amount |
71661.39 |
Total Medical Medicare Standardized Payment Amount |
72199.83 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
369 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
354 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6797 |