National Provider Identifier [NPI]: |
1871540310 |
Last Name Of The Provider |
WOO |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1040 DELAWARE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARION |
Zip Code Of The Provider |
433026416 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1593 |
Number Of Medicare Beneficiaries |
355 |
Total Submitted Charge Amount |
157139 |
Total Medicare Allowed Amount |
98552.72 |
Total Medicare Payment Amount |
72706.83 |
Total Medicare Standardized Payment Amount |
76909 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
483 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
7640 |
Total Drug Medicare AllowedAmount |
1623.81 |
Total Drug Medicare PaymentAmount |
1256.95 |
Total Drug Medicare Standardized Payment Amount |
1256.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1110 |
Number Of Medicare Beneficiaries With Medical Services |
355 |
Total Medical Submitted Charge Amount |
149499 |
Total Medical Medicare Allowed Amount |
96928.91 |
Total Medical Medicare Payment Amount |
71449.88 |
Total Medical Medicare Standardized Payment Amount |
75652.05 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
87 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
209 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.7652 |