| National Provider Identifier [NPI]: | 1053396283 |
| Last Name Of The Provider | WAGDY |
| First Name Of The Provider | HISHAM |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 202 10TH ST SE |
| Street Address 2 Of The Provider | SUITE 225 |
| City Of The Provider | CEDAR RAPIDS |
| Zip Code Of The Provider | 524032404 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 77 |
| Number Of Services | 4994 |
| Number Of Medicare Beneficiaries | 2000 |
| Total Submitted Charge Amount | 1124023 |
| Total Medicare Allowed Amount | 438639.15 |
| Total Medicare Payment Amount | 335252.75 |
| Total Medicare Standardized Payment Amount | 359979.86 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 387 |
| Number Of Medicare Beneficiaries With Drug Services | 103 |
| Total Drug Submitted ChargeAmount | 41527 |
| Total Drug Medicare AllowedAmount | 20376.21 |
| Total Drug Medicare PaymentAmount | 15857.33 |
| Total Drug Medicare Standardized Payment Amount | 15857.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 73 |
| Number Of Medical Services | 4607 |
| Number Of Medicare Beneficiaries With Medical Services | 2000 |
| Total Medical Submitted Charge Amount | 1082496 |
| Total Medical Medicare Allowed Amount | 418262.94 |
| Total Medical Medicare Payment Amount | 319395.42 |
| Total Medical Medicare Standardized Payment Amount | 344122.53 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 207 |
| Number Of Beneficiaries Age 65 to 74 | 678 |
| Number Of Beneficiaries Age 75 to 84 | 722 |
| Number Of Beneficiaries Age Greater 84 | 393 |
| Number Of Female Beneficiaries | 1008 |
| Number Of Male Beneficiaries | 992 |
| Number Of Non Hispanic White Beneficiaries | 1929 |
| Number Of Black or African American Beneficiaries | 32 |
| 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 | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1646 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 354 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.458 |