| National Provider Identifier [NPI]: | 1265660542 |
| Last Name Of The Provider | WHETSELL |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 215 E 95TH ST |
| Street Address 2 Of The Provider | UNIT 23K |
| City Of The Provider | NEW YORK |
| Zip Code Of The Provider | 101284077 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 190 |
| Number Of Services | 17155 |
| Number Of Medicare Beneficiaries | 3877 |
| Total Submitted Charge Amount | 1434446.41 |
| Total Medicare Allowed Amount | 354884.74 |
| Total Medicare Payment Amount | 272399.11 |
| Total Medicare Standardized Payment Amount | 263765.79 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 10876 |
| Number Of Medicare Beneficiaries With Drug Services | 138 |
| Total Drug Submitted ChargeAmount | 13433 |
| Total Drug Medicare AllowedAmount | 2837.65 |
| Total Drug Medicare PaymentAmount | 2194.16 |
| Total Drug Medicare Standardized Payment Amount | 2194.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 185 |
| Number Of Medical Services | 6279 |
| Number Of Medicare Beneficiaries With Medical Services | 3876 |
| Total Medical Submitted Charge Amount | 1421013.41 |
| Total Medical Medicare Allowed Amount | 352047.09 |
| Total Medical Medicare Payment Amount | 270204.95 |
| Total Medical Medicare Standardized Payment Amount | 261571.63 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 456 |
| Number Of Beneficiaries Age 65 to 74 | 1077 |
| Number Of Beneficiaries Age 75 to 84 | 1279 |
| Number Of Beneficiaries Age Greater 84 | 1065 |
| Number Of Female Beneficiaries | 2212 |
| Number Of Male Beneficiaries | 1665 |
| Number Of Non Hispanic White Beneficiaries | 3204 |
| Number Of Black or African American Beneficiaries | 256 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 329 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2938 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 939 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9669 |