National Provider Identifier [NPI]: |
1952412926 |
Last Name Of The Provider |
SHERWOOD |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3000 NEWPORT GAP PIKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198082378 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
842 |
Number Of Medicare Beneficiaries |
89 |
Total Submitted Charge Amount |
66384.99 |
Total Medicare Allowed Amount |
51421.88 |
Total Medicare Payment Amount |
38332.63 |
Total Medicare Standardized Payment Amount |
37716.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
1586.31 |
Total Drug Medicare AllowedAmount |
677.38 |
Total Drug Medicare PaymentAmount |
663.71 |
Total Drug Medicare Standardized Payment Amount |
663.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
785 |
Number Of Medicare Beneficiaries With Medical Services |
89 |
Total Medical Submitted Charge Amount |
64798.68 |
Total Medical Medicare Allowed Amount |
50744.5 |
Total Medical Medicare Payment Amount |
37668.92 |
Total Medical Medicare Standardized Payment Amount |
37052.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
21 |
Number Of Beneficiaries Age 75 to 84 |
32 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
49 |
Number Of Male Beneficiaries |
40 |
Number Of Non Hispanic White Beneficiaries |
50 |
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 |
11 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
33 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
3.0544 |