National Provider Identifier [NPI]: |
1801851142 |
Last Name Of The Provider |
WILENSKY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 PRINCETON AVE SW |
Street Address 2 Of The Provider |
SUITE 707 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352111310 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
10355 |
Number Of Medicare Beneficiaries |
1814 |
Total Submitted Charge Amount |
2095373.86 |
Total Medicare Allowed Amount |
1003702.6 |
Total Medicare Payment Amount |
744200.95 |
Total Medicare Standardized Payment Amount |
823199.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
538 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
53050 |
Total Drug Medicare AllowedAmount |
27928.85 |
Total Drug Medicare PaymentAmount |
21108.8 |
Total Drug Medicare Standardized Payment Amount |
21108.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
9817 |
Number Of Medicare Beneficiaries With Medical Services |
1814 |
Total Medical Submitted Charge Amount |
2042323.86 |
Total Medical Medicare Allowed Amount |
975773.75 |
Total Medical Medicare Payment Amount |
723092.15 |
Total Medical Medicare Standardized Payment Amount |
802090.59 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
199 |
Number Of Beneficiaries Age 65 to 74 |
733 |
Number Of Beneficiaries Age 75 to 84 |
648 |
Number Of Beneficiaries Age Greater 84 |
234 |
Number Of Female Beneficiaries |
746 |
Number Of Male Beneficiaries |
1068 |
Number Of Non Hispanic White Beneficiaries |
1571 |
Number Of Black or African American Beneficiaries |
230 |
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 |
1599 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5183 |