| National Provider Identifier [NPI]: | 1538126008 |
| Last Name Of The Provider | WYATT |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1190 WAIANUENUE ST |
| Street Address 2 Of The Provider | HILO MEDICAL CENTER |
| City Of The Provider | HILO |
| Zip Code Of The Provider | 96720 |
| State Code Of The Provider | HI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 232 |
| Number Of Services | 9429 |
| Number Of Medicare Beneficiaries | 2159 |
| Total Submitted Charge Amount | 1158988.96 |
| Total Medicare Allowed Amount | 246096.93 |
| Total Medicare Payment Amount | 182287.68 |
| Total Medicare Standardized Payment Amount | 167879.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5385 |
| Number Of Medicare Beneficiaries With Drug Services | 91 |
| Total Drug Submitted ChargeAmount | 18315 |
| Total Drug Medicare AllowedAmount | 1625.9 |
| Total Drug Medicare PaymentAmount | 1274.45 |
| Total Drug Medicare Standardized Payment Amount | 1274.45 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 230 |
| Number Of Medical Services | 4044 |
| Number Of Medicare Beneficiaries With Medical Services | 2159 |
| Total Medical Submitted Charge Amount | 1140673.96 |
| Total Medical Medicare Allowed Amount | 244471.03 |
| Total Medical Medicare Payment Amount | 181013.23 |
| Total Medical Medicare Standardized Payment Amount | 166605.21 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 329 |
| Number Of Beneficiaries Age 65 to 74 | 896 |
| Number Of Beneficiaries Age 75 to 84 | 591 |
| Number Of Beneficiaries Age Greater 84 | 343 |
| Number Of Female Beneficiaries | 1282 |
| Number Of Male Beneficiaries | 877 |
| Number Of Non Hispanic White Beneficiaries | 860 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 919 |
| Number Of Hispanic Beneficiaries | 142 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 217 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1618 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 541 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 31 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3837 |