| National Provider Identifier [NPI]: | 1689846008 |
| Last Name Of The Provider | WADDELL |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12368 STRATFORD DR |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | CLIVE |
| Zip Code Of The Provider | 503258162 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 166 |
| Number Of Services | 14070 |
| Number Of Medicare Beneficiaries | 5304 |
| Total Submitted Charge Amount | 652165.5 |
| Total Medicare Allowed Amount | 232946.7 |
| Total Medicare Payment Amount | 180310.13 |
| Total Medicare Standardized Payment Amount | 197070.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6399 |
| Number Of Medicare Beneficiaries With Drug Services | 78 |
| Total Drug Submitted ChargeAmount | 3222 |
| Total Drug Medicare AllowedAmount | 1219.9 |
| Total Drug Medicare PaymentAmount | 927.37 |
| Total Drug Medicare Standardized Payment Amount | 927.37 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 164 |
| Number Of Medical Services | 7671 |
| Number Of Medicare Beneficiaries With Medical Services | 5304 |
| Total Medical Submitted Charge Amount | 648943.5 |
| Total Medical Medicare Allowed Amount | 231726.8 |
| Total Medical Medicare Payment Amount | 179382.76 |
| Total Medical Medicare Standardized Payment Amount | 196143.46 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 716 |
| Number Of Beneficiaries Age 65 to 74 | 2132 |
| Number Of Beneficiaries Age 75 to 84 | 1577 |
| Number Of Beneficiaries Age Greater 84 | 879 |
| Number Of Female Beneficiaries | 3335 |
| Number Of Male Beneficiaries | 1969 |
| Number Of Non Hispanic White Beneficiaries | 5012 |
| Number Of Black or African American Beneficiaries | 123 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 67 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4312 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 992 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2958 |