National Provider Identifier [NPI]: |
1851462279 |
Last Name Of The Provider |
WENDLING |
First Name Of The Provider |
JHANA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10900 W 44TH AVE UNIT 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WHEAT RIDGE |
Zip Code Of The Provider |
800332742 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
853 |
Number Of Medicare Beneficiaries |
270 |
Total Submitted Charge Amount |
202515 |
Total Medicare Allowed Amount |
100806.52 |
Total Medicare Payment Amount |
79433.69 |
Total Medicare Standardized Payment Amount |
79330.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
1425 |
Total Drug Medicare AllowedAmount |
877.8 |
Total Drug Medicare PaymentAmount |
860.13 |
Total Drug Medicare Standardized Payment Amount |
860.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
796 |
Number Of Medicare Beneficiaries With Medical Services |
270 |
Total Medical Submitted Charge Amount |
201090 |
Total Medical Medicare Allowed Amount |
99928.72 |
Total Medical Medicare Payment Amount |
78573.56 |
Total Medical Medicare Standardized Payment Amount |
78469.92 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
51 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
230 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
207 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
59 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.1042 |