| National Provider Identifier [NPI]: | 1861669897 |
| Last Name Of The Provider | WELLING |
| First Name Of The Provider | RODNEY |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 30 MEMORIAL DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | PINEHURST |
| Zip Code Of The Provider | 283748707 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 229 |
| Number Of Services | 8427 |
| Number Of Medicare Beneficiaries | 4601 |
| Total Submitted Charge Amount | 1407087 |
| Total Medicare Allowed Amount | 323267.05 |
| Total Medicare Payment Amount | 243248.8 |
| Total Medicare Standardized Payment Amount | 250797.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 1962 |
| Number Of Medicare Beneficiaries With Drug Services | 31 |
| Total Drug Submitted ChargeAmount | 10255 |
| Total Drug Medicare AllowedAmount | 590.03 |
| Total Drug Medicare PaymentAmount | 453.69 |
| Total Drug Medicare Standardized Payment Amount | 453.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 224 |
| Number Of Medical Services | 6465 |
| Number Of Medicare Beneficiaries With Medical Services | 4601 |
| Total Medical Submitted Charge Amount | 1396832 |
| Total Medical Medicare Allowed Amount | 322677.02 |
| Total Medical Medicare Payment Amount | 242795.11 |
| Total Medical Medicare Standardized Payment Amount | 250343.93 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 800 |
| Number Of Beneficiaries Age 65 to 74 | 1786 |
| Number Of Beneficiaries Age 75 to 84 | 1358 |
| Number Of Beneficiaries Age Greater 84 | 657 |
| Number Of Female Beneficiaries | 2660 |
| Number Of Male Beneficiaries | 1941 |
| Number Of Non Hispanic White Beneficiaries | 3493 |
| Number Of Black or African American Beneficiaries | 703 |
| Number Of AsianPacific Islander Beneficiaries | 64 |
| Number Of Hispanic Beneficiaries | 176 |
| Number Of American Indian Alaska Native Beneficiaries | 84 |
| Number Of Beneficiaries With Race Not Else where Classified | 81 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3505 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1096 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6282 |