National Provider Identifier [NPI]: |
1093770984 |
Last Name Of The Provider |
WOOD |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4320 WORNALL RD |
Street Address 2 Of The Provider |
STE 208 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641113255 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1337 |
Number Of Medicare Beneficiaries |
408 |
Total Submitted Charge Amount |
255427 |
Total Medicare Allowed Amount |
171357.44 |
Total Medicare Payment Amount |
129624.3 |
Total Medicare Standardized Payment Amount |
132263.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
1066 |
Total Drug Medicare AllowedAmount |
440.07 |
Total Drug Medicare PaymentAmount |
398.96 |
Total Drug Medicare Standardized Payment Amount |
398.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1299 |
Number Of Medicare Beneficiaries With Medical Services |
408 |
Total Medical Submitted Charge Amount |
254361 |
Total Medical Medicare Allowed Amount |
170917.37 |
Total Medical Medicare Payment Amount |
129225.34 |
Total Medical Medicare Standardized Payment Amount |
131864.39 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
267 |
Number Of Black or African American Beneficiaries |
119 |
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 |
274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
134 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
4.1288 |