| National Provider Identifier [NPI]: | 1710978002 |
| Last Name Of The Provider | WEDEL |
| First Name Of The Provider | RICHARD |
| 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 | 901 N PORTER AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | NORMAN |
| Zip Code Of The Provider | 730716404 |
| State Code Of The Provider | OK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 255 |
| Number Of Services | 10421 |
| Number Of Medicare Beneficiaries | 5333 |
| Total Submitted Charge Amount | 1191412 |
| Total Medicare Allowed Amount | 312852.54 |
| Total Medicare Payment Amount | 228796.78 |
| Total Medicare Standardized Payment Amount | 244676.34 |
| 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 | 255 |
| Number Of Medical Services | 10421 |
| Number Of Medicare Beneficiaries With Medical Services | 5333 |
| Total Medical Submitted Charge Amount | 1191412 |
| Total Medical Medicare Allowed Amount | 312852.54 |
| Total Medical Medicare Payment Amount | 228796.78 |
| Total Medical Medicare Standardized Payment Amount | 244676.34 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1022 |
| Number Of Beneficiaries Age 65 to 74 | 1967 |
| Number Of Beneficiaries Age 75 to 84 | 1557 |
| Number Of Beneficiaries Age Greater 84 | 787 |
| Number Of Female Beneficiaries | 3255 |
| Number Of Male Beneficiaries | 2078 |
| Number Of Non Hispanic White Beneficiaries | 4779 |
| Number Of Black or African American Beneficiaries | 120 |
| Number Of AsianPacific Islander Beneficiaries | 29 |
| Number Of Hispanic Beneficiaries | 110 |
| Number Of American Indian Alaska Native Beneficiaries | 248 |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4168 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1165 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5564 |