National Provider Identifier [NPI]: |
1700838182 |
Last Name Of The Provider |
WENDER |
First Name Of The Provider |
VALERIE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 PEACHTREE ST NE |
Street Address 2 Of The Provider |
#1550 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303082253 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
3874 |
Number Of Medicare Beneficiaries |
287 |
Total Submitted Charge Amount |
266099.01 |
Total Medicare Allowed Amount |
112362.96 |
Total Medicare Payment Amount |
90216.67 |
Total Medicare Standardized Payment Amount |
90033.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
78 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
3265 |
Total Drug Medicare AllowedAmount |
2026.15 |
Total Drug Medicare PaymentAmount |
1928.1 |
Total Drug Medicare Standardized Payment Amount |
1928.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
3796 |
Number Of Medicare Beneficiaries With Medical Services |
287 |
Total Medical Submitted Charge Amount |
262834.01 |
Total Medical Medicare Allowed Amount |
110336.81 |
Total Medical Medicare Payment Amount |
88288.57 |
Total Medical Medicare Standardized Payment Amount |
88105.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
246 |
Number Of Male Beneficiaries |
41 |
Number Of Non Hispanic White Beneficiaries |
265 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
6 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
8 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
39 |
Percent Of With Ischemic Heart Disease |
13 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6304 |