National Provider Identifier [NPI]: |
1326043100 |
Last Name Of The Provider |
WOOD |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 N EAGLE CREEK DR |
Street Address 2 Of The Provider |
STE 500 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405091827 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
15259 |
Number Of Medicare Beneficiaries |
1530 |
Total Submitted Charge Amount |
7886644 |
Total Medicare Allowed Amount |
4796465.19 |
Total Medicare Payment Amount |
3717522.13 |
Total Medicare Standardized Payment Amount |
3750265.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
7943 |
Number Of Medicare Beneficiaries With Drug Services |
627 |
Total Drug Submitted ChargeAmount |
5263306 |
Total Drug Medicare AllowedAmount |
4153038.29 |
Total Drug Medicare PaymentAmount |
3239723.84 |
Total Drug Medicare Standardized Payment Amount |
3239723.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
7316 |
Number Of Medicare Beneficiaries With Medical Services |
1530 |
Total Medical Submitted Charge Amount |
2623338 |
Total Medical Medicare Allowed Amount |
643426.9 |
Total Medical Medicare Payment Amount |
477798.29 |
Total Medical Medicare Standardized Payment Amount |
510541.78 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
523 |
Number Of Beneficiaries Age Greater 84 |
389 |
Number Of Female Beneficiaries |
969 |
Number Of Male Beneficiaries |
561 |
Number Of Non Hispanic White Beneficiaries |
1488 |
Number Of Black or African American Beneficiaries |
28 |
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 |
1260 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3898 |