National Provider Identifier [NPI]: |
1053319996 |
Last Name Of The Provider |
WOJNOWICH |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1326 EISENHOWER DR |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314063928 |
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 |
86 |
Number Of Services |
8786 |
Number Of Medicare Beneficiaries |
390 |
Total Submitted Charge Amount |
506124 |
Total Medicare Allowed Amount |
205983.33 |
Total Medicare Payment Amount |
163580.36 |
Total Medicare Standardized Payment Amount |
171913.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1479 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
33318 |
Total Drug Medicare AllowedAmount |
17667.54 |
Total Drug Medicare PaymentAmount |
16026.83 |
Total Drug Medicare Standardized Payment Amount |
16026.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
7307 |
Number Of Medicare Beneficiaries With Medical Services |
390 |
Total Medical Submitted Charge Amount |
472806 |
Total Medical Medicare Allowed Amount |
188315.79 |
Total Medical Medicare Payment Amount |
147553.53 |
Total Medical Medicare Standardized Payment Amount |
155886.19 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
206 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
295 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
364 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9297 |