National Provider Identifier [NPI]: |
1023064177 |
Last Name Of The Provider |
WOO |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD MA CCD FACE CDE |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2610 COURTHOUSE CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLOWOOD |
Zip Code Of The Provider |
392329562 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
10557 |
Number Of Medicare Beneficiaries |
534 |
Total Submitted Charge Amount |
588729 |
Total Medicare Allowed Amount |
311491.67 |
Total Medicare Payment Amount |
235088.39 |
Total Medicare Standardized Payment Amount |
254315.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
515 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
10732 |
Total Drug Medicare AllowedAmount |
3575 |
Total Drug Medicare PaymentAmount |
2634.08 |
Total Drug Medicare Standardized Payment Amount |
2634.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
10042 |
Number Of Medicare Beneficiaries With Medical Services |
534 |
Total Medical Submitted Charge Amount |
577997 |
Total Medical Medicare Allowed Amount |
307916.67 |
Total Medical Medicare Payment Amount |
232454.31 |
Total Medical Medicare Standardized Payment Amount |
251681.64 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
336 |
Number Of Male Beneficiaries |
198 |
Number Of Non Hispanic White Beneficiaries |
283 |
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 |
493 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1853 |