National Provider Identifier [NPI]: |
1043292436 |
Last Name Of The Provider |
WOLFE |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3600 WEST LINCOLNWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMES |
Zip Code Of The Provider |
500103014 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
2898 |
Number Of Medicare Beneficiaries |
264 |
Total Submitted Charge Amount |
233146.5 |
Total Medicare Allowed Amount |
87273.09 |
Total Medicare Payment Amount |
65560.54 |
Total Medicare Standardized Payment Amount |
72164.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
815 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
5355 |
Total Drug Medicare AllowedAmount |
3188.24 |
Total Drug Medicare PaymentAmount |
2819.67 |
Total Drug Medicare Standardized Payment Amount |
2819.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
2083 |
Number Of Medicare Beneficiaries With Medical Services |
263 |
Total Medical Submitted Charge Amount |
227791.5 |
Total Medical Medicare Allowed Amount |
84084.85 |
Total Medical Medicare Payment Amount |
62740.87 |
Total Medical Medicare Standardized Payment Amount |
69344.77 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
149 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
250 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
238 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
38 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8607 |