National Provider Identifier [NPI]: |
1255360608 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2901 W KINNICKINNIC RIVER PKWY |
Street Address 2 Of The Provider |
SUITE LL9 |
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
532153677 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
231 |
Number Of Services |
4128 |
Number Of Medicare Beneficiaries |
3007 |
Total Submitted Charge Amount |
962381 |
Total Medicare Allowed Amount |
144568.67 |
Total Medicare Payment Amount |
108980.61 |
Total Medicare Standardized Payment Amount |
114960.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
231 |
Number Of Medical Services |
4128 |
Number Of Medicare Beneficiaries With Medical Services |
3007 |
Total Medical Submitted Charge Amount |
962381 |
Total Medical Medicare Allowed Amount |
144568.67 |
Total Medical Medicare Payment Amount |
108980.61 |
Total Medical Medicare Standardized Payment Amount |
114960.73 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
546 |
Number Of Beneficiaries Age 65 to 74 |
958 |
Number Of Beneficiaries Age 75 to 84 |
904 |
Number Of Beneficiaries Age Greater 84 |
599 |
Number Of Female Beneficiaries |
1677 |
Number Of Male Beneficiaries |
1330 |
Number Of Non Hispanic White Beneficiaries |
2538 |
Number Of Black or African American Beneficiaries |
280 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
117 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2194 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
813 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0252 |