National Provider Identifier [NPI]: |
1891864393 |
Last Name Of The Provider |
WOOD |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
615 LILLY RD NE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
OLYMPIA |
Zip Code Of The Provider |
985065117 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
3923 |
Number Of Medicare Beneficiaries |
772 |
Total Submitted Charge Amount |
2429765.79 |
Total Medicare Allowed Amount |
681140.21 |
Total Medicare Payment Amount |
511306.88 |
Total Medicare Standardized Payment Amount |
513877.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
689 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
13998.08 |
Total Drug Medicare AllowedAmount |
4103.47 |
Total Drug Medicare PaymentAmount |
2886.66 |
Total Drug Medicare Standardized Payment Amount |
2886.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
3234 |
Number Of Medicare Beneficiaries With Medical Services |
772 |
Total Medical Submitted Charge Amount |
2415767.71 |
Total Medical Medicare Allowed Amount |
677036.74 |
Total Medical Medicare Payment Amount |
508420.22 |
Total Medical Medicare Standardized Payment Amount |
510990.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
372 |
Number Of Beneficiaries Age 75 to 84 |
236 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
488 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
727 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0039 |