National Provider Identifier [NPI]: |
1134138308 |
Last Name Of The Provider |
WHEELER |
First Name Of The Provider |
DWIGHT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
720 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEWTON |
Zip Code Of The Provider |
671148778 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
2929 |
Number Of Medicare Beneficiaries |
423 |
Total Submitted Charge Amount |
251959 |
Total Medicare Allowed Amount |
171301.62 |
Total Medicare Payment Amount |
119626.31 |
Total Medicare Standardized Payment Amount |
126842.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1065 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
26582 |
Total Drug Medicare AllowedAmount |
15261.55 |
Total Drug Medicare PaymentAmount |
12129.87 |
Total Drug Medicare Standardized Payment Amount |
12129.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
1864 |
Number Of Medicare Beneficiaries With Medical Services |
423 |
Total Medical Submitted Charge Amount |
225377 |
Total Medical Medicare Allowed Amount |
156040.07 |
Total Medical Medicare Payment Amount |
107496.44 |
Total Medical Medicare Standardized Payment Amount |
114712.78 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
213 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
395 |
Number Of Black or African American Beneficiaries |
|
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 |
370 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1381 |