| National Provider Identifier [NPI]: | 1184630469 |
| Last Name Of The Provider | WESLEY |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3150 N TENAYA WAY |
| Street Address 2 Of The Provider | SUITE 320 |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 891280443 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 109 |
| Number Of Services | 10914 |
| Number Of Medicare Beneficiaries | 3116 |
| Total Submitted Charge Amount | 1228404.5 |
| Total Medicare Allowed Amount | 369767.8 |
| Total Medicare Payment Amount | 283178 |
| Total Medicare Standardized Payment Amount | 280832.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 1872 |
| Number Of Medicare Beneficiaries With Drug Services | 29 |
| Total Drug Submitted ChargeAmount | 12079.5 |
| Total Drug Medicare AllowedAmount | 5388.44 |
| Total Drug Medicare PaymentAmount | 4211.23 |
| Total Drug Medicare Standardized Payment Amount | 4211.23 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 105 |
| Number Of Medical Services | 9042 |
| Number Of Medicare Beneficiaries With Medical Services | 3116 |
| Total Medical Submitted Charge Amount | 1216325 |
| Total Medical Medicare Allowed Amount | 364379.36 |
| Total Medical Medicare Payment Amount | 278966.77 |
| Total Medical Medicare Standardized Payment Amount | 276620.84 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 979 |
| Number Of Beneficiaries Age 65 to 74 | 1201 |
| Number Of Beneficiaries Age 75 to 84 | 650 |
| Number Of Beneficiaries Age Greater 84 | 286 |
| Number Of Female Beneficiaries | 1471 |
| Number Of Male Beneficiaries | 1645 |
| Number Of Non Hispanic White Beneficiaries | 1754 |
| Number Of Black or African American Beneficiaries | 687 |
| Number Of AsianPacific Islander Beneficiaries | 196 |
| Number Of Hispanic Beneficiaries | 400 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 63 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1925 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1191 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.1431 |