National Provider Identifier [NPI]: |
1043200884 |
Last Name Of The Provider |
HOOD |
First Name Of The Provider |
FRED |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
65 OLD JACKSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCDONOUGH |
Zip Code Of The Provider |
302523095 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
4782 |
Number Of Medicare Beneficiaries |
588 |
Total Submitted Charge Amount |
712587 |
Total Medicare Allowed Amount |
236192.38 |
Total Medicare Payment Amount |
173684.44 |
Total Medicare Standardized Payment Amount |
175004.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1608 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
95132 |
Total Drug Medicare AllowedAmount |
27069.4 |
Total Drug Medicare PaymentAmount |
22927.46 |
Total Drug Medicare Standardized Payment Amount |
22927.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3174 |
Number Of Medicare Beneficiaries With Medical Services |
588 |
Total Medical Submitted Charge Amount |
617455 |
Total Medical Medicare Allowed Amount |
209122.98 |
Total Medical Medicare Payment Amount |
150756.98 |
Total Medical Medicare Standardized Payment Amount |
152077.23 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
212 |
Number Of Non Hispanic White Beneficiaries |
310 |
Number Of Black or African American Beneficiaries |
259 |
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 |
495 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2225 |