| National Provider Identifier [NPI]: | 1619956547 |
| Last Name Of The Provider | WITCIK |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D, |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1236 E RUSHOLME ST |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | DAVENPORT |
| Zip Code Of The Provider | 528032473 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 71 |
| Number Of Services | 6569 |
| Number Of Medicare Beneficiaries | 2778 |
| Total Submitted Charge Amount | 1443033.6 |
| Total Medicare Allowed Amount | 496063.89 |
| Total Medicare Payment Amount | 373287.59 |
| Total Medicare Standardized Payment Amount | 407553.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 678 |
| Number Of Medicare Beneficiaries With Drug Services | 178 |
| Total Drug Submitted ChargeAmount | 40863.6 |
| Total Drug Medicare AllowedAmount | 35722.17 |
| Total Drug Medicare PaymentAmount | 27558.68 |
| Total Drug Medicare Standardized Payment Amount | 27558.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 68 |
| Number Of Medical Services | 5891 |
| Number Of Medicare Beneficiaries With Medical Services | 2778 |
| Total Medical Submitted Charge Amount | 1402170 |
| Total Medical Medicare Allowed Amount | 460341.72 |
| Total Medical Medicare Payment Amount | 345728.91 |
| Total Medical Medicare Standardized Payment Amount | 379994.87 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 282 |
| Number Of Beneficiaries Age 65 to 74 | 1028 |
| Number Of Beneficiaries Age 75 to 84 | 979 |
| Number Of Beneficiaries Age Greater 84 | 489 |
| Number Of Female Beneficiaries | 1296 |
| Number Of Male Beneficiaries | 1482 |
| Number Of Non Hispanic White Beneficiaries | 2591 |
| Number Of Black or African American Beneficiaries | 105 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | 45 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 18 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2368 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 410 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4891 |