National Provider Identifier [NPI]: |
1760478903 |
Last Name Of The Provider |
WOOD |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 CARSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
724013104 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
14746 |
Number Of Medicare Beneficiaries |
2805 |
Total Submitted Charge Amount |
958641 |
Total Medicare Allowed Amount |
436702.22 |
Total Medicare Payment Amount |
330032.33 |
Total Medicare Standardized Payment Amount |
354345.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
273 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
4891 |
Total Drug Medicare AllowedAmount |
3158.07 |
Total Drug Medicare PaymentAmount |
2980.63 |
Total Drug Medicare Standardized Payment Amount |
2980.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
14473 |
Number Of Medicare Beneficiaries With Medical Services |
2805 |
Total Medical Submitted Charge Amount |
953750 |
Total Medical Medicare Allowed Amount |
433544.15 |
Total Medical Medicare Payment Amount |
327051.7 |
Total Medical Medicare Standardized Payment Amount |
351364.99 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
697 |
Number Of Beneficiaries Age 65 to 74 |
939 |
Number Of Beneficiaries Age 75 to 84 |
793 |
Number Of Beneficiaries Age Greater 84 |
376 |
Number Of Female Beneficiaries |
1607 |
Number Of Male Beneficiaries |
1198 |
Number Of Non Hispanic White Beneficiaries |
2568 |
Number Of Black or African American Beneficiaries |
200 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1630 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1175 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7552 |