| National Provider Identifier [NPI]: | 1164460952 |
| Last Name Of The Provider | WOLF |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 233 E SHORE RD |
| Street Address 2 Of The Provider | #112 |
| City Of The Provider | GREAT NECK |
| Zip Code Of The Provider | 110232433 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pulmonary Disease |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 47 |
| Number Of Services | 6234 |
| Number Of Medicare Beneficiaries | 1321 |
| Total Submitted Charge Amount | 542772.66 |
| Total Medicare Allowed Amount | 520927.87 |
| Total Medicare Payment Amount | 398797.1 |
| Total Medicare Standardized Payment Amount | 351502.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 805 |
| Number Of Medicare Beneficiaries With Drug Services | 29 |
| Total Drug Submitted ChargeAmount | 21181.6 |
| Total Drug Medicare AllowedAmount | 21181.6 |
| Total Drug Medicare PaymentAmount | 16696.4 |
| Total Drug Medicare Standardized Payment Amount | 16696.4 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 43 |
| Number Of Medical Services | 5429 |
| Number Of Medicare Beneficiaries With Medical Services | 1321 |
| Total Medical Submitted Charge Amount | 521591.06 |
| Total Medical Medicare Allowed Amount | 499746.27 |
| Total Medical Medicare Payment Amount | 382100.7 |
| Total Medical Medicare Standardized Payment Amount | 334806.23 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 87 |
| Number Of Beneficiaries Age 65 to 74 | 357 |
| Number Of Beneficiaries Age 75 to 84 | 496 |
| Number Of Beneficiaries Age Greater 84 | 381 |
| Number Of Female Beneficiaries | 656 |
| Number Of Male Beneficiaries | 665 |
| Number Of Non Hispanic White Beneficiaries | 1178 |
| Number Of Black or African American Beneficiaries | 52 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | 53 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1115 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 206 |
| Percent Of With Atrial Fibrillation | 43 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 29 |
| Percent Of With Cancer | 23 |
| Percent Of With Heart Failure | 69 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 54 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 57 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.3555 |