National Provider Identifier [NPI]: |
1346246626 |
Last Name Of The Provider |
WU |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
927 MCCULLOUGH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782151630 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
13132 |
Number Of Medicare Beneficiaries |
1708 |
Total Submitted Charge Amount |
10086103.98 |
Total Medicare Allowed Amount |
3334370.94 |
Total Medicare Payment Amount |
2541783.73 |
Total Medicare Standardized Payment Amount |
2799745.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2080 |
Number Of Medicare Beneficiaries With Drug Services |
354 |
Total Drug Submitted ChargeAmount |
189947 |
Total Drug Medicare AllowedAmount |
74729.37 |
Total Drug Medicare PaymentAmount |
57069.95 |
Total Drug Medicare Standardized Payment Amount |
57069.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
11052 |
Number Of Medicare Beneficiaries With Medical Services |
1708 |
Total Medical Submitted Charge Amount |
9896156.98 |
Total Medical Medicare Allowed Amount |
3259641.57 |
Total Medical Medicare Payment Amount |
2484713.78 |
Total Medical Medicare Standardized Payment Amount |
2742675.42 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
267 |
Number Of Beneficiaries Age 65 to 74 |
735 |
Number Of Beneficiaries Age 75 to 84 |
483 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
877 |
Number Of Male Beneficiaries |
831 |
Number Of Non Hispanic White Beneficiaries |
669 |
Number Of Black or African American Beneficiaries |
147 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
855 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1246 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
462 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8229 |