National Provider Identifier [NPI]: |
1104853639 |
Last Name Of The Provider |
WOODS |
First Name Of The Provider |
SONJA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1404 TUSCULUM BLVD |
Street Address 2 Of The Provider |
LAUGHLIN MOB, SUITE 2100/2300 |
City Of The Provider |
GREENEVILLE |
Zip Code Of The Provider |
377454395 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
3997 |
Number Of Medicare Beneficiaries |
225 |
Total Submitted Charge Amount |
213231 |
Total Medicare Allowed Amount |
110255.09 |
Total Medicare Payment Amount |
85301.74 |
Total Medicare Standardized Payment Amount |
89948.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
500 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
4347 |
Total Drug Medicare AllowedAmount |
3296.96 |
Total Drug Medicare PaymentAmount |
3148.23 |
Total Drug Medicare Standardized Payment Amount |
3148.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
3497 |
Number Of Medicare Beneficiaries With Medical Services |
225 |
Total Medical Submitted Charge Amount |
208884 |
Total Medical Medicare Allowed Amount |
106958.13 |
Total Medical Medicare Payment Amount |
82153.51 |
Total Medical Medicare Standardized Payment Amount |
86800.58 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
62 |
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 |
182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9443 |