| National Provider Identifier [NPI]: | 1972548139 |
| Last Name Of The Provider | WENDT |
| First Name Of The Provider | FREDERICK |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8333 NORTH DAVIS HWY |
| Street Address 2 Of The Provider | MEDICAL CENTER CLINIC/RADIOLOGY DEP |
| City Of The Provider | PENSACOLA |
| Zip Code Of The Provider | 32514 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 178 |
| Number Of Services | 7522 |
| Number Of Medicare Beneficiaries | 4149 |
| Total Submitted Charge Amount | 828298 |
| Total Medicare Allowed Amount | 209658.46 |
| Total Medicare Payment Amount | 160934.91 |
| Total Medicare Standardized Payment Amount | 165625.21 |
| 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 | 178 |
| Number Of Medical Services | 7522 |
| Number Of Medicare Beneficiaries With Medical Services | 4149 |
| Total Medical Submitted Charge Amount | 828298 |
| Total Medical Medicare Allowed Amount | 209658.46 |
| Total Medical Medicare Payment Amount | 160934.91 |
| Total Medical Medicare Standardized Payment Amount | 165625.21 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 945 |
| Number Of Beneficiaries Age 65 to 74 | 1154 |
| Number Of Beneficiaries Age 75 to 84 | 1221 |
| Number Of Beneficiaries Age Greater 84 | 829 |
| Number Of Female Beneficiaries | 2424 |
| Number Of Male Beneficiaries | 1725 |
| Number Of Non Hispanic White Beneficiaries | 2165 |
| Number Of Black or African American Beneficiaries | 274 |
| Number Of AsianPacific Islander Beneficiaries | 39 |
| Number Of Hispanic Beneficiaries | 1634 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2406 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1743 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 53 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.3747 |