| National Provider Identifier [NPI]: | 1164468211 |
| Last Name Of The Provider | WONG |
| First Name Of The Provider | KEYE |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3920 BEE RIDGE RD |
| Street Address 2 Of The Provider | BLDG D |
| City Of The Provider | SARASOTA |
| Zip Code Of The Provider | 342331207 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 49 |
| Number Of Services | 31543 |
| Number Of Medicare Beneficiaries | 2099 |
| Total Submitted Charge Amount | 13747539 |
| Total Medicare Allowed Amount | 6578084.02 |
| Total Medicare Payment Amount | 5080877.64 |
| Total Medicare Standardized Payment Amount | 5074999.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 11697 |
| Number Of Medicare Beneficiaries With Drug Services | 603 |
| Total Drug Submitted ChargeAmount | 10353387 |
| Total Drug Medicare AllowedAmount | 5106417.31 |
| Total Drug Medicare PaymentAmount | 3990947.79 |
| Total Drug Medicare Standardized Payment Amount | 3990947.79 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 41 |
| Number Of Medical Services | 19846 |
| Number Of Medicare Beneficiaries With Medical Services | 2099 |
| Total Medical Submitted Charge Amount | 3394152 |
| Total Medical Medicare Allowed Amount | 1471666.71 |
| Total Medical Medicare Payment Amount | 1089929.85 |
| Total Medical Medicare Standardized Payment Amount | 1084052.05 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | 48 |
| Number Of Beneficiaries Age 65 to 74 | 609 |
| Number Of Beneficiaries Age 75 to 84 | 804 |
| Number Of Beneficiaries Age Greater 84 | 638 |
| Number Of Female Beneficiaries | 1189 |
| Number Of Male Beneficiaries | 910 |
| Number Of Non Hispanic White Beneficiaries | 2005 |
| Number Of Black or African American Beneficiaries | 25 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 25 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2014 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 85 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.291 |