National Provider Identifier [NPI]: |
1235234634 |
Last Name Of The Provider |
WENDEL |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3939 J ST |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958193631 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
21046 |
Number Of Medicare Beneficiaries |
2151 |
Total Submitted Charge Amount |
5429953.11 |
Total Medicare Allowed Amount |
4136594.59 |
Total Medicare Payment Amount |
3190019.49 |
Total Medicare Standardized Payment Amount |
3061430.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
5291 |
Number Of Medicare Beneficiaries With Drug Services |
319 |
Total Drug Submitted ChargeAmount |
3536270.92 |
Total Drug Medicare AllowedAmount |
2400320.48 |
Total Drug Medicare PaymentAmount |
1879558.29 |
Total Drug Medicare Standardized Payment Amount |
1879558.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
15755 |
Number Of Medicare Beneficiaries With Medical Services |
2146 |
Total Medical Submitted Charge Amount |
1893682.19 |
Total Medical Medicare Allowed Amount |
1736274.11 |
Total Medical Medicare Payment Amount |
1310461.2 |
Total Medical Medicare Standardized Payment Amount |
1181872.23 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
710 |
Number Of Beneficiaries Age 75 to 84 |
746 |
Number Of Beneficiaries Age Greater 84 |
548 |
Number Of Female Beneficiaries |
1205 |
Number Of Male Beneficiaries |
946 |
Number Of Non Hispanic White Beneficiaries |
1696 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
150 |
Number Of Hispanic Beneficiaries |
179 |
Number Of American Indian Alaska Native Beneficiaries |
19 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
1764 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4759 |