National Provider Identifier [NPI]: |
1104825249 |
Last Name Of The Provider |
WOLFE |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5454 WISCONSIN AVE |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
CHEVY CHASE |
Zip Code Of The Provider |
208156901 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
37630 |
Number Of Medicare Beneficiaries |
936 |
Total Submitted Charge Amount |
3010204 |
Total Medicare Allowed Amount |
982296.66 |
Total Medicare Payment Amount |
751482.09 |
Total Medicare Standardized Payment Amount |
713937.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
30976 |
Number Of Medicare Beneficiaries With Drug Services |
273 |
Total Drug Submitted ChargeAmount |
1710779 |
Total Drug Medicare AllowedAmount |
627030.74 |
Total Drug Medicare PaymentAmount |
480613.98 |
Total Drug Medicare Standardized Payment Amount |
480613.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
6654 |
Number Of Medicare Beneficiaries With Medical Services |
936 |
Total Medical Submitted Charge Amount |
1299425 |
Total Medical Medicare Allowed Amount |
355265.92 |
Total Medical Medicare Payment Amount |
270868.11 |
Total Medical Medicare Standardized Payment Amount |
233323.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
747 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
714 |
Number Of Black or African American Beneficiaries |
135 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
885 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
42 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0585 |