National Provider Identifier [NPI]: |
1366593709 |
Last Name Of The Provider |
WENDLAND |
First Name Of The Provider |
ROBERT |
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 |
1010 CARONDELET DR |
Street Address 2 Of The Provider |
SUITE 224A |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641144859 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
13928 |
Number Of Medicare Beneficiaries |
666 |
Total Submitted Charge Amount |
690643 |
Total Medicare Allowed Amount |
312787.3 |
Total Medicare Payment Amount |
244312.39 |
Total Medicare Standardized Payment Amount |
249380.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
3477 |
Number Of Medicare Beneficiaries With Drug Services |
251 |
Total Drug Submitted ChargeAmount |
97234 |
Total Drug Medicare AllowedAmount |
38425.16 |
Total Drug Medicare PaymentAmount |
30629.72 |
Total Drug Medicare Standardized Payment Amount |
30629.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
10451 |
Number Of Medicare Beneficiaries With Medical Services |
665 |
Total Medical Submitted Charge Amount |
593409 |
Total Medical Medicare Allowed Amount |
274362.14 |
Total Medical Medicare Payment Amount |
213682.67 |
Total Medical Medicare Standardized Payment Amount |
218750.88 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
622 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
648 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0124 |