National Provider Identifier [NPI]: |
1114924321 |
Last Name Of The Provider |
WOOL |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2055 E SOUTH BLVD |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
36116 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
7493 |
Number Of Medicare Beneficiaries |
1317 |
Total Submitted Charge Amount |
1256037.25 |
Total Medicare Allowed Amount |
614598.92 |
Total Medicare Payment Amount |
456393.55 |
Total Medicare Standardized Payment Amount |
507663.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
7493 |
Number Of Medicare Beneficiaries With Medical Services |
1317 |
Total Medical Submitted Charge Amount |
1256037.25 |
Total Medical Medicare Allowed Amount |
614598.92 |
Total Medical Medicare Payment Amount |
456393.55 |
Total Medical Medicare Standardized Payment Amount |
507663.9 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
464 |
Number Of Beneficiaries Age 75 to 84 |
471 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
677 |
Number Of Male Beneficiaries |
640 |
Number Of Non Hispanic White Beneficiaries |
1016 |
Number Of Black or African American Beneficiaries |
284 |
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 |
1150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
167 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5161 |