National Provider Identifier [NPI]: |
1407836703 |
Last Name Of The Provider |
WENRICH |
First Name Of The Provider |
RODNEY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1346 S DIVISION ST |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
SALISBURY |
Zip Code Of The Provider |
218047021 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
1403 |
Number Of Medicare Beneficiaries |
462 |
Total Submitted Charge Amount |
107769 |
Total Medicare Allowed Amount |
87398.52 |
Total Medicare Payment Amount |
60174.58 |
Total Medicare Standardized Payment Amount |
59091.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
165 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
6071 |
Total Drug Medicare AllowedAmount |
5300.07 |
Total Drug Medicare PaymentAmount |
5194.31 |
Total Drug Medicare Standardized Payment Amount |
5194.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
1238 |
Number Of Medicare Beneficiaries With Medical Services |
462 |
Total Medical Submitted Charge Amount |
101698 |
Total Medical Medicare Allowed Amount |
82098.45 |
Total Medical Medicare Payment Amount |
54980.27 |
Total Medical Medicare Standardized Payment Amount |
53897.48 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
255 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
419 |
Number Of Black or African American Beneficiaries |
|
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 |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1059 |