National Provider Identifier [NPI]: |
1467420570 |
Last Name Of The Provider |
WOODRUFF |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4802 E JOHNSON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
72401 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
13337 |
Number Of Medicare Beneficiaries |
2526 |
Total Submitted Charge Amount |
775246.29 |
Total Medicare Allowed Amount |
552147.34 |
Total Medicare Payment Amount |
409118.16 |
Total Medicare Standardized Payment Amount |
448859.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
5783 |
Number Of Medicare Beneficiaries With Drug Services |
1797 |
Total Drug Submitted ChargeAmount |
142520.29 |
Total Drug Medicare AllowedAmount |
100885.23 |
Total Drug Medicare PaymentAmount |
88543.16 |
Total Drug Medicare Standardized Payment Amount |
88543.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
7554 |
Number Of Medicare Beneficiaries With Medical Services |
2519 |
Total Medical Submitted Charge Amount |
632726 |
Total Medical Medicare Allowed Amount |
451262.11 |
Total Medical Medicare Payment Amount |
320575 |
Total Medical Medicare Standardized Payment Amount |
360316.79 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
329 |
Number Of Beneficiaries Age 65 to 74 |
1072 |
Number Of Beneficiaries Age 75 to 84 |
842 |
Number Of Beneficiaries Age Greater 84 |
283 |
Number Of Female Beneficiaries |
1559 |
Number Of Male Beneficiaries |
967 |
Number Of Non Hispanic White Beneficiaries |
2450 |
Number Of Black or African American Beneficiaries |
60 |
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 |
2211 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1232 |