| National Provider Identifier [NPI]: | 1811019359 |
| Last Name Of The Provider | KRIEGEL |
| First Name Of The Provider | WENDY |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 527 N PALO ALTO AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | PANAMA CITY |
| Zip Code Of The Provider | 324013639 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 220 |
| Number Of Services | 10376 |
| Number Of Medicare Beneficiaries | 5342 |
| Total Submitted Charge Amount | 1138940 |
| Total Medicare Allowed Amount | 469797.87 |
| Total Medicare Payment Amount | 387106.89 |
| Total Medicare Standardized Payment Amount | 398085.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 360 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 4170 |
| Total Drug Medicare AllowedAmount | 263.81 |
| Total Drug Medicare PaymentAmount | 206.79 |
| Total Drug Medicare Standardized Payment Amount | 206.79 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 218 |
| Number Of Medical Services | 10016 |
| Number Of Medicare Beneficiaries With Medical Services | 5342 |
| Total Medical Submitted Charge Amount | 1134770 |
| Total Medical Medicare Allowed Amount | 469534.06 |
| Total Medical Medicare Payment Amount | 386900.1 |
| Total Medical Medicare Standardized Payment Amount | 397878.59 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 972 |
| Number Of Beneficiaries Age 65 to 74 | 2142 |
| Number Of Beneficiaries Age 75 to 84 | 1625 |
| Number Of Beneficiaries Age Greater 84 | 603 |
| Number Of Female Beneficiaries | 3585 |
| Number Of Male Beneficiaries | 1757 |
| Number Of Non Hispanic White Beneficiaries | 4780 |
| Number Of Black or African American Beneficiaries | 402 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 72 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4032 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1310 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5397 |