National Provider Identifier [NPI]: |
1902808769 |
Last Name Of The Provider |
WOLFLEY |
First Name Of The Provider |
LOYD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2002 MEDICAL PKWY |
Street Address 2 Of The Provider |
SUITE 235 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214013046 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
5208 |
Number Of Medicare Beneficiaries |
2648 |
Total Submitted Charge Amount |
972813 |
Total Medicare Allowed Amount |
297370.46 |
Total Medicare Payment Amount |
226615.14 |
Total Medicare Standardized Payment Amount |
218469.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1529 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
5226 |
Total Drug Medicare AllowedAmount |
1877.09 |
Total Drug Medicare PaymentAmount |
1347.79 |
Total Drug Medicare Standardized Payment Amount |
1347.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
142 |
Number Of Medical Services |
3679 |
Number Of Medicare Beneficiaries With Medical Services |
2648 |
Total Medical Submitted Charge Amount |
967587 |
Total Medical Medicare Allowed Amount |
295493.37 |
Total Medical Medicare Payment Amount |
225267.35 |
Total Medical Medicare Standardized Payment Amount |
217122.18 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
275 |
Number Of Beneficiaries Age 65 to 74 |
997 |
Number Of Beneficiaries Age 75 to 84 |
845 |
Number Of Beneficiaries Age Greater 84 |
531 |
Number Of Female Beneficiaries |
1616 |
Number Of Male Beneficiaries |
1032 |
Number Of Non Hispanic White Beneficiaries |
2096 |
Number Of Black or African American Beneficiaries |
471 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
2351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6562 |