| National Provider Identifier [NPI]: | 1659323111 |
| Last Name Of The Provider | ROGERS |
| First Name Of The Provider | WAYNE |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3B CLEVELAND CT |
| Street Address 2 Of The Provider | |
| City Of The Provider | GREENVILLE |
| Zip Code Of The Provider | 296072414 |
| State Code Of The Provider | SC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 59 |
| Number Of Services | 26799 |
| Number Of Medicare Beneficiaries | 2962 |
| Total Submitted Charge Amount | 1959559 |
| Total Medicare Allowed Amount | 1103366.37 |
| Total Medicare Payment Amount | 778898.68 |
| Total Medicare Standardized Payment Amount | 832234.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2350 |
| Number Of Medicare Beneficiaries With Drug Services | 516 |
| Total Drug Submitted ChargeAmount | 21183 |
| Total Drug Medicare AllowedAmount | 4231.55 |
| Total Drug Medicare PaymentAmount | 2888.67 |
| Total Drug Medicare Standardized Payment Amount | 2888.67 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 57 |
| Number Of Medical Services | 24449 |
| Number Of Medicare Beneficiaries With Medical Services | 2962 |
| Total Medical Submitted Charge Amount | 1938376 |
| Total Medical Medicare Allowed Amount | 1099134.82 |
| Total Medical Medicare Payment Amount | 776010.01 |
| Total Medical Medicare Standardized Payment Amount | 829346 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 324 |
| Number Of Beneficiaries Age 65 to 74 | 1483 |
| Number Of Beneficiaries Age 75 to 84 | 879 |
| Number Of Beneficiaries Age Greater 84 | 276 |
| Number Of Female Beneficiaries | 1502 |
| Number Of Male Beneficiaries | 1460 |
| Number Of Non Hispanic White Beneficiaries | 2655 |
| Number Of Black or African American Beneficiaries | 220 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2579 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 383 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.0079 |