| National Provider Identifier [NPI]: | 1508859448 |
| Last Name Of The Provider | WILEY |
| First Name Of The Provider | DARYL |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 315 FLUKER ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | THOMSON |
| Zip Code Of The Provider | 308242108 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 100 |
| Number Of Services | 11188 |
| Number Of Medicare Beneficiaries | 1151 |
| Total Submitted Charge Amount | 844685.83 |
| Total Medicare Allowed Amount | 503648.87 |
| Total Medicare Payment Amount | 358227.72 |
| Total Medicare Standardized Payment Amount | 388048.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 16 |
| Number Of Drug Services | 1483 |
| Number Of Medicare Beneficiaries With Drug Services | 493 |
| Total Drug Submitted ChargeAmount | 34439.64 |
| Total Drug Medicare AllowedAmount | 14609.32 |
| Total Drug Medicare PaymentAmount | 12619.54 |
| Total Drug Medicare Standardized Payment Amount | 12619.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 84 |
| Number Of Medical Services | 9705 |
| Number Of Medicare Beneficiaries With Medical Services | 1151 |
| Total Medical Submitted Charge Amount | 810246.19 |
| Total Medical Medicare Allowed Amount | 489039.55 |
| Total Medical Medicare Payment Amount | 345608.18 |
| Total Medical Medicare Standardized Payment Amount | 375429.42 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 246 |
| Number Of Beneficiaries Age 65 to 74 | 440 |
| Number Of Beneficiaries Age 75 to 84 | 307 |
| Number Of Beneficiaries Age Greater 84 | 158 |
| Number Of Female Beneficiaries | 717 |
| Number Of Male Beneficiaries | 434 |
| Number Of Non Hispanic White Beneficiaries | 813 |
| Number Of Black or African American Beneficiaries | 318 |
| 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 | 689 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 462 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 6 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3391 |