| National Provider Identifier [NPI]: | 1912936246 |
| Last Name Of The Provider | WILKES |
| First Name Of The Provider | HAROLD |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 97 BARNES RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | WALLINGFORD |
| Zip Code Of The Provider | 064921885 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 44 |
| Number Of Services | 6565 |
| Number Of Medicare Beneficiaries | 2247 |
| Total Submitted Charge Amount | 1025241.06 |
| Total Medicare Allowed Amount | 452426.63 |
| Total Medicare Payment Amount | 333237.63 |
| Total Medicare Standardized Payment Amount | 313234.77 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 364 |
| Number Of Medicare Beneficiaries With Drug Services | 90 |
| Total Drug Submitted ChargeAmount | 36400 |
| Total Drug Medicare AllowedAmount | 19269.04 |
| Total Drug Medicare PaymentAmount | 15106.83 |
| Total Drug Medicare Standardized Payment Amount | 15106.83 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 43 |
| Number Of Medical Services | 6201 |
| Number Of Medicare Beneficiaries With Medical Services | 2247 |
| Total Medical Submitted Charge Amount | 988841.06 |
| Total Medical Medicare Allowed Amount | 433157.59 |
| Total Medical Medicare Payment Amount | 318130.8 |
| Total Medical Medicare Standardized Payment Amount | 298127.94 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 289 |
| Number Of Beneficiaries Age 65 to 74 | 565 |
| Number Of Beneficiaries Age 75 to 84 | 681 |
| Number Of Beneficiaries Age Greater 84 | 712 |
| Number Of Female Beneficiaries | 1251 |
| Number Of Male Beneficiaries | 996 |
| Number Of Non Hispanic White Beneficiaries | 1931 |
| Number Of Black or African American Beneficiaries | 96 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 165 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1361 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 886 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 30 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8571 |