National Provider Identifier [NPI]: |
1437195781 |
Last Name Of The Provider |
WOOD |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 SW RAMSEY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRANTS PASS |
Zip Code Of The Provider |
975275554 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
236 |
Number Of Services |
7030 |
Number Of Medicare Beneficiaries |
3725 |
Total Submitted Charge Amount |
510218 |
Total Medicare Allowed Amount |
199607.02 |
Total Medicare Payment Amount |
146725.26 |
Total Medicare Standardized Payment Amount |
153482.75 |
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 |
236 |
Number Of Medical Services |
7030 |
Number Of Medicare Beneficiaries With Medical Services |
3725 |
Total Medical Submitted Charge Amount |
510218 |
Total Medical Medicare Allowed Amount |
199607.02 |
Total Medical Medicare Payment Amount |
146725.26 |
Total Medical Medicare Standardized Payment Amount |
153482.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
612 |
Number Of Beneficiaries Age 65 to 74 |
1593 |
Number Of Beneficiaries Age 75 to 84 |
1005 |
Number Of Beneficiaries Age Greater 84 |
515 |
Number Of Female Beneficiaries |
2310 |
Number Of Male Beneficiaries |
1415 |
Number Of Non Hispanic White Beneficiaries |
3545 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2925 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
800 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1834 |