National Provider Identifier [NPI]: |
1760590483 |
Last Name Of The Provider |
WENDT |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 N CHELAN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WENATCHEE |
Zip Code Of The Provider |
988012028 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
3254 |
Number Of Medicare Beneficiaries |
1517 |
Total Submitted Charge Amount |
469805.9 |
Total Medicare Allowed Amount |
144993.83 |
Total Medicare Payment Amount |
106100.17 |
Total Medicare Standardized Payment Amount |
108514.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1186 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
5582 |
Total Drug Medicare AllowedAmount |
2024.03 |
Total Drug Medicare PaymentAmount |
1437.33 |
Total Drug Medicare Standardized Payment Amount |
1437.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
142 |
Number Of Medical Services |
2068 |
Number Of Medicare Beneficiaries With Medical Services |
1517 |
Total Medical Submitted Charge Amount |
464223.9 |
Total Medical Medicare Allowed Amount |
142969.8 |
Total Medical Medicare Payment Amount |
104662.84 |
Total Medical Medicare Standardized Payment Amount |
107076.9 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
632 |
Number Of Beneficiaries Age 75 to 84 |
492 |
Number Of Beneficiaries Age Greater 84 |
202 |
Number Of Female Beneficiaries |
859 |
Number Of Male Beneficiaries |
658 |
Number Of Non Hispanic White Beneficiaries |
1412 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1288 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
229 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2391 |