National Provider Identifier [NPI]: |
1861463275 |
Last Name Of The Provider |
WENDER |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 NEBRASKA ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIOUX CITY |
Zip Code Of The Provider |
511011733 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
154 |
Number Of Services |
151318 |
Number Of Medicare Beneficiaries |
1348 |
Total Submitted Charge Amount |
4801589.1 |
Total Medicare Allowed Amount |
2953350.73 |
Total Medicare Payment Amount |
2308521.85 |
Total Medicare Standardized Payment Amount |
2325615.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
79 |
Number Of Drug Services |
136450 |
Number Of Medicare Beneficiaries With Drug Services |
305 |
Total Drug Submitted ChargeAmount |
3479861.1 |
Total Drug Medicare AllowedAmount |
2409927.31 |
Total Drug Medicare PaymentAmount |
1886499.05 |
Total Drug Medicare Standardized Payment Amount |
1886499.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
14868 |
Number Of Medicare Beneficiaries With Medical Services |
1348 |
Total Medical Submitted Charge Amount |
1321728 |
Total Medical Medicare Allowed Amount |
543423.42 |
Total Medical Medicare Payment Amount |
422022.8 |
Total Medical Medicare Standardized Payment Amount |
439116.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
547 |
Number Of Beneficiaries Age 75 to 84 |
487 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
834 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
1289 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1170 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
55 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.8026 |