National Provider Identifier [NPI]: |
1871589713 |
Last Name Of The Provider |
WHEAT |
First Name Of The Provider |
DANNY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 AMBLER AVE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
ABILENE |
Zip Code Of The Provider |
796012216 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
9173 |
Number Of Medicare Beneficiaries |
1489 |
Total Submitted Charge Amount |
536009.75 |
Total Medicare Allowed Amount |
517251.02 |
Total Medicare Payment Amount |
383325.86 |
Total Medicare Standardized Payment Amount |
414137.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
315 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
492.9 |
Total Drug Medicare AllowedAmount |
391.76 |
Total Drug Medicare PaymentAmount |
305.22 |
Total Drug Medicare Standardized Payment Amount |
305.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
8858 |
Number Of Medicare Beneficiaries With Medical Services |
1489 |
Total Medical Submitted Charge Amount |
535516.85 |
Total Medical Medicare Allowed Amount |
516859.26 |
Total Medical Medicare Payment Amount |
383020.64 |
Total Medical Medicare Standardized Payment Amount |
413832.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
324 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
449 |
Number Of Beneficiaries Age Greater 84 |
405 |
Number Of Female Beneficiaries |
894 |
Number Of Male Beneficiaries |
595 |
Number Of Non Hispanic White Beneficiaries |
1221 |
Number Of Black or African American Beneficiaries |
88 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
167 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
602 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
887 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6905 |