National Provider Identifier [NPI]: |
1962500322 |
Last Name Of The Provider |
WOLFE |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25 MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HYANNIS |
Zip Code Of The Provider |
026013129 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
11492 |
Number Of Medicare Beneficiaries |
2444 |
Total Submitted Charge Amount |
2334965.73 |
Total Medicare Allowed Amount |
893537.99 |
Total Medicare Payment Amount |
658276.5 |
Total Medicare Standardized Payment Amount |
640614.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
554 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
31778.2 |
Total Drug Medicare AllowedAmount |
29318.66 |
Total Drug Medicare PaymentAmount |
22900.03 |
Total Drug Medicare Standardized Payment Amount |
22900.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
10938 |
Number Of Medicare Beneficiaries With Medical Services |
2444 |
Total Medical Submitted Charge Amount |
2303187.53 |
Total Medical Medicare Allowed Amount |
864219.33 |
Total Medical Medicare Payment Amount |
635376.47 |
Total Medical Medicare Standardized Payment Amount |
617714.66 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
832 |
Number Of Beneficiaries Age 75 to 84 |
965 |
Number Of Beneficiaries Age Greater 84 |
533 |
Number Of Female Beneficiaries |
1092 |
Number Of Male Beneficiaries |
1352 |
Number Of Non Hispanic White Beneficiaries |
2358 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
2214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
230 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3079 |