| National Provider Identifier [NPI]: | 1548289796 |
| Last Name Of The Provider | WARDELL |
| First Name Of The Provider | ARTHUR |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5818 HARBOUR VIEW BLVD # D |
| Street Address 2 Of The Provider | SUITE 150 |
| City Of The Provider | SUFFOLK |
| Zip Code Of The Provider | 234353315 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Orthopedic Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 152 |
| Number Of Services | 34563 |
| Number Of Medicare Beneficiaries | 1024 |
| Total Submitted Charge Amount | 4505832 |
| Total Medicare Allowed Amount | 1459637.97 |
| Total Medicare Payment Amount | 1088206.32 |
| Total Medicare Standardized Payment Amount | 1042036.44 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 2980 |
| Number Of Medicare Beneficiaries With Drug Services | 635 |
| Total Drug Submitted ChargeAmount | 217799 |
| Total Drug Medicare AllowedAmount | 80692.12 |
| Total Drug Medicare PaymentAmount | 62519.33 |
| Total Drug Medicare Standardized Payment Amount | 62519.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 143 |
| Number Of Medical Services | 31583 |
| Number Of Medicare Beneficiaries With Medical Services | 1024 |
| Total Medical Submitted Charge Amount | 4288033 |
| Total Medical Medicare Allowed Amount | 1378945.85 |
| Total Medical Medicare Payment Amount | 1025686.99 |
| Total Medical Medicare Standardized Payment Amount | 979517.11 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 193 |
| Number Of Beneficiaries Age 65 to 74 | 465 |
| Number Of Beneficiaries Age 75 to 84 | 256 |
| Number Of Beneficiaries Age Greater 84 | 110 |
| Number Of Female Beneficiaries | 657 |
| Number Of Male Beneficiaries | 367 |
| Number Of Non Hispanic White Beneficiaries | 694 |
| Number Of Black or African American Beneficiaries | 298 |
| 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 | 12 |
| Number Of Beneficiaries With Medicare Only Entitlement | 904 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 120 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 22 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 72 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0731 |