Medicare Procedure and Patient Information
2012 Medicare Procedure Volume
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| doctor visit | 48 |
|---|
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Dr. Roquell E. Wyche, MD is a cardiologist in Washington, DC specializing in adult cardiology. She graduated from George Washington University School of Medicine and Health Sciences in 1988 and has 38 years of experience. Dr. Roquell E. Wyche, MD is affiliated with MedStar Washington Hospital Center, MedStar Health and MedStar St. Mary s Hospital.
MedStar St. Mary s Hospital
Angiogram (Angiography)
Angiography is the use of x-rays to examine blood vessels, especially in order to identify any blocked or misshapen vessels that may cause problems. The test itself is called an angiogram. Some of the disorders that angiograms can be used to diagnose include:
During an angiogram, the doctor inserts a very thin, flexible tube called a catheter into a blood vessel through an opening in the groin or arm. The catheter is threaded through the body to the site of the suspected problem, where a small amount of dye is injected into the bloodstream and x-rays are taken. The dye makes the surrounding blood vessels visible via x-ray.
If necessary, certain procedures can be performed after an angiogram while the catheter is in place. Angioplasty is the use of a catheter to widen narrowed or blocked arteries. Stents are like tiny coiled springs that hold blood vessels open, and they can be placed during a catheterization. Damaged heart valves can also be repaired or replaced.
A typical angiogram takes about an hour to perform, but it may be longer if the catheterization is used to perform procedures on the blood vessels. It may be uncomfortable at times but is usually not painful. Afterwards, patients may be monitored for up to six hours to make sure any bleeding from the insertion site has stopped. They are given fluids to help flush the dye from their body. For a day or two after an angiogram it is important for patients to drink plenty of fluids and keep strenuous activity to a minimum.
Heart Problems
The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.
Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.
Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.
Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.
Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.
Implantable Cardioverter-Defibrillator (ICD) Insertion
An implantable cardioverter defibrillator (ICD) is a cardiac device that can not only treat irregular heartbeats but also restart the heart if needed. A standard pacemaker monitors the beating of the heart, and can treat an irregular rhythm with regular, low-energy electrical impulses that cause the heart to contract on time. An ICD performs this function, but also monitors for cardiac arrest, when the heart suddenly stops beating. If this happens, the ICD can deliver a single, high-energy dose of electricity to shock the heart and get it beating again. After delivering a defibrillating shock, the ICD makes sure the heart continues to work correctly.
Placement of an ICD is similar to the placement of a standard pacemaker. An incision is made near the shoulder, and two insulated wires or leads are threaded through a vein and placed in the heart. The battery pack, a small metal device, is inserted beneath the skin of the chest just under the collarbone. Once everything is in place, the wires are connected to the battery, and the ICD is functional.
Patients may have swelling and discomfort after surgery as their incisions heal.The heart needs several weeks to adjust to the ICD, so it is best for them to avoid strenuous activity at first. Strong magnetic fields may affect the function of the ICD, so doctors tell patients to avoid certain activities, such as having an MRI or even keeping their cell phones too close to their ICD. Within a few weeks patients' hearts should be beating more safely and effectively.
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| doctor visit | 48 |
|---|
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| doctor visit | 33 |
|---|
Information about Medicare patients treated by Dr. Roquell E. Wyche, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 14 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 0 |
| Chronic Kidney Disease | 0 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 0 |
| Dementia | 0 |
| Cancer | 0 |
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| doctor visit | 39 |
|---|
| Hypertension | 75 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 0 |
| Chronic Kidney Disease | 0 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 0 |
| Dementia | 0 |
| Cancer | 0 |
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| doctor visit | 66 |
|---|
| Hypertension | 75 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 0 |
| Ischemic Heart Disease | 58 |
| Depression | 0 |
| Chronic Kidney Disease | 0 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 0 |
| Dementia | 0 |
| Cancer | 0 |
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| doctor visit | 24 |
|---|
| Hypertension | 75 |
|---|---|
| High Cholesterol | 0 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 0 |
| Chronic Kidney Disease | 0 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 0 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Roquell E. Wyche, MD treated as a cardiologist in Washington, DC during 2018 were cardiac procedures, stress testing, ultrasound (sonogram) and nuclear scan.
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| cardiac procedures | 33 |
|---|---|
| doctor visit | 40 |
| nuclear scan | 11 |
| stress testing | 22 |
| ultrasound (sonogram) | 11 |
Information about Medicare patients treated by Dr. Roquell E. Wyche, MD.
| Male | 24 |
|---|---|
| Female | 32 |
| Non-Hispanic White | 39 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 23 |
|---|---|
| From 75 to 84 | 21 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 0 |
| Ischemic Heart Disease | 41 |
| Depression | 0 |
| Chronic Kidney Disease | 30 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 21 |
| Heart Failure | 20 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 38 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Roquell E. Wyche, MD treated as a cardiologist in Washington, DC during 2019 were cardiac procedures, stress testing, nuclear scan and hospital care.
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| ambulatory monitoring | 39 |
|---|---|
| cardiac procedures | 560 |
| doctor visit | 394 |
| hospital care | 181 |
| inpatient care | 181 |
| lab tests | 44 |
| nuclear scan | 206 |
| stress testing | 428 |
| ultrasound (sonogram) | 93 |
Information about Medicare patients treated by Dr. Roquell E. Wyche, MD.
| Male | 314 |
|---|---|
| Female | 373 |
| Non-Hispanic White | 490 |
|---|---|
| Black | 169 |
| Hispanic | 16 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 296 |
|---|---|
| From 75 to 84 | 216 |
| 85 and over | 102 |
| Less than 65 | 73 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 13 |
| Ischemic Heart Disease | 59 |
| Depression | 29 |
| Chronic Kidney Disease | 44 |
| Asthma | 11 |
| Osteoperosis | 7 |
| Atrial Fibrilation | 23 |
| Heart Failure | 37 |
| Chronic Obstructive Pulmonary Disease | 30 |
| Diabetes | 45 |
| Dementia | 17 |
| Cancer | 11 |
The top procedures that Dr. Roquell E. Wyche, MD treated as a cardiologist in Washington, DC during 2020 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| ambulatory monitoring | 20 |
|---|---|
| blood draw | 23 |
| cardiac procedures | 362 |
| doctor visit | 556 |
| hospital care | 614 |
| inpatient care | 614 |
| lab tests | 38 |
| nuclear scan | 67 |
| stress testing | 151 |
| ultrasound (sonogram) | 191 |
Information about Medicare patients treated by Dr. Roquell E. Wyche, MD.
| Male | 694 |
|---|---|
| Female | 899 |
| Non-Hispanic White | 974 |
|---|---|
| Black | 546 |
| Hispanic | 30 |
| Asian | 0 |
| Other | 24 |
| Native American | 0 |
| From 65 to 74 | 587 |
|---|---|
| From 75 to 84 | 529 |
| 85 and over | 270 |
| Less than 65 | 207 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 18 |
| Ischemic Heart Disease | 56 |
| Depression | 31 |
| Chronic Kidney Disease | 56 |
| Asthma | 11 |
| Osteoperosis | 8 |
| Atrial Fibrilation | 25 |
| Heart Failure | 41 |
| Chronic Obstructive Pulmonary Disease | 30 |
| Diabetes | 51 |
| Dementia | 25 |
| Cancer | 14 |
The top procedures that Dr. Roquell E. Wyche, MD treated as a cardiologist in Washington, DC during 2021 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
| cardiac procedures | 192 |
|---|---|
| doctor visit | 300 |
| hospital care | 220 |
| inpatient care | 220 |
| lab tests | 35 |
| stress testing | 29 |
| ultrasound (sonogram) | 163 |
Information about Medicare patients treated by Dr. Roquell E. Wyche, MD.
| Male | 469 |
|---|---|
| Female | 587 |
| Non-Hispanic White | 656 |
|---|---|
| Black | 358 |
| Hispanic | 19 |
| Asian | 0 |
| Other | 12 |
| Native American | 0 |
| From 65 to 74 | 381 |
|---|---|
| From 75 to 84 | 374 |
| 85 and over | 174 |
| Less than 65 | 127 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 20 |
| Ischemic Heart Disease | 61 |
| Depression | 29 |
| Chronic Kidney Disease | 58 |
| Asthma | 10 |
| Osteoperosis | 7 |
| Atrial Fibrilation | 25 |
| Heart Failure | 44 |
| Chronic Obstructive Pulmonary Disease | 29 |
| Diabetes | 52 |
| Dementia | 22 |
| Cancer | 15 |
Volume of procedures performed by Dr. Roquell E. Wyche, MD for Medicare patients.
The highest averages for the top procedures that Dr. Roquell E. Wyche, MD treated as a cardiologist in Washington, DC were hospital care, inpatient care, cardiac procedures and stress testing.
| ambulatory monitoring | 29 |
|---|---|
| blood draw | 23 |
| cardiac procedures | 286 |
| doctor visit | 166 |
| hospital care | 338 |
| inpatient care | 338 |
| lab tests | 39 |
| nuclear scan | 94 |
| stress testing | 157 |
| ultrasound (sonogram) | 114 |
Information about Medicare patients treated by Dr. Roquell E. Wyche, MD.
| Male | 166 |
|---|---|
| Female | 210 |
| Black / African American | 120 |
|---|---|
| Asian / Pacific Islander | 0 |
| Non-Hispanic White | 239 |
| Native American / Alaskan Native | 0 |
| Hispanic | 7 |
| Other | 4 |
| 75 to 84 | 126 |
|---|---|
| 85 and over | 60 |
| Less than 65 | 45 |
| 65 to 74 | 143 |
The highest averages of the most common conditions of Medicare patients that Dr. Roquell E. Wyche, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.
| Hypertension | 66 |
|---|---|
| High Cholesterol | 58 |
| Stroke | 5 |
| Ischemic Heart Disease | 30 |
| Depression | 9 |
| Chronic Kidney Disease | 20 |
| Asthma | 3 |
| Osteoporosis | 2 |
| Heart Failure | 15 |
| Chronic Obstructive Pulmonary Disease | 9 |
| Diabetes | 20 |
| Atrial Fibrillation | 10 |
| Dementia | 7 |
| Cancer | 4 |
Dr. Roquell E. Wyche, MD graduated from George Washington University School of Medicine and Health Sciences in 1988. She completed residency at Washington Hospital Center. She is certified by the American Board of Internal Medicine, Internal Medicine and has a state license in District of Columbia.
Medical School: George Washington University School of Medicine and Health Sciences (1988)
Residency: Washington Hospital Center (2001)
Board Certification: American Board of Internal Medicine, Internal Medicine
Licensed In: District of Columbia
Dr. Roquell E. Wyche, MD is associated with these hospitals and organizations:
Dr. Roquell E. Wyche, MD appears to accept the following insurance providers: MultiPlan, Optimum Choice, Optima Health, MAMSI, Magellan Health Services, United Healthcare Choice Plus, United Healthcare Choice, First Health PPO, Blue Choice, Great-West Healthcare, TRICARE, Coventry, TRICARE Reserve Select, Anthem, Aetna Managed Choice POS, Beech Street PPO, Aetna HMO, Kaiser Permanente, CIGNA PPO, CIGNA EPO, Aetna Medicare PPO, Aetna Medicare PFFS, CIGNA Indemnity, AmeriHealth, AARP, Medicare Advantage, TriWest, Coventry National Network PPO, Highmark, Amerigroup, United Healthcare, Medicaid, Humana, Cigna, Sentara Health Plans, WellPoint, United Healthcare Community Plan (AmeriChoice), Humana Medicare Advantage PPO, Blue Cross and Blue Shield of Michigan, CIGNA PPO Plus, HealthyBlue PPO, Aetna Premier 200PD, MedStar Family Choice - Maryland Health Choice, CareFirst NASCO, Private Fee-for-Service Plans (PFFS), M.D. IPA Preferred (POS), CareFirst Maryland Indemnity or PPO, IH-PPO, Aetna Advantage 6350PD, DC/MD SHOP QHP Small Business Plans, MedStar Family Choice DC Healthy Families, CareFirst EPO, Optimum Choice Preferred (POS), OCI Direct (HMO), Medicare Direct, Alterwood Advanatge HMO & DSNP Plans, Aetna Open Choice (PPO), OA Plus, CareFirst Administrators, United Student Resources, IH-Network Only Plus, IH-POS, Aetna Classic 5000, Aetna Signature Administrator PPO/TPA, Healthy Blue (HMO, POS), CareFirst Community Health Plan of Maryland, IH-POS Plus, Jai Medical Systems - Maryland Health Choice, CareFirst Maryland Point of Service Plan, Aetna HMO-Open Access/Select OA/HealthFund/Health Network Option OA, Health Services for Children with Special Needs, Choice POS II, CareFirst Blue Card Program, Choice Fund PPO, IH-EPO Plus, Aetna VA Exchange, Aetna Managed Choice Open Access (POS), Aetna Better Health of Virginia, CareFirst BlueCross BlueShield Advantage Core/Enhanced, Aetna Worker's Compensation Network, Options PPO Cardiac Global, Uniformed Services Family Health Plan, Aetna Advantage 5750, IH-Open HMO Option, HumanaChoice Honor's plan PPO, Aetna Basic, CareFirst FEP Blue Focus, Optimum Choice & Optimum Choice Preferred (POS) Cardiac Global, MedStar Family Choice DC Healthcare Alliance, Core Essential (HMO), IH-Open EPO Plus, IH-Open POS Plus, Johns Hopkins Advantage MD PLUS PPO, Select HMO/HealthFund/Health Network, MD IPA (HMO) & MD IPA Preferred Cardiac Global, CareFirst Blue Preferred PPO, Aetna Elect Choice/ Open Access (POS), IH-Open HMO, Aetna Advantage 6350, M.D. IPA (HMO), Erickson Advantage Plans, Aetna Elect Choice/ EPO (Aetna Health Fund), POS OA, Aetna Quality Point of Service (POS), IH-Open POS II, Aetna Classic 5000PD, Johns Hopkins Advantage MD HMO, CareFirst Dual Prime HMO-SNP, Priority Partners - Maryland Health Choice, Aetna Student Health Insurance, Private Health Care Systems (PPO), Choice POS, Lasso Healthcare - Medicare Medical Savings Account, IH-Indemnity, CareFirst MedStar PPO, CareFirst (NCA) Indemnity, Aetna Traditional Choice (PPO), United Medicare Private Fee-for-Service (PFFS) plans, IH-HMO, IH-Open Network Only Plus, HumanaChoice PPO, CareFirst Federal Employee Program (Std. & Basic PPO), Johns Hopkins Advantage MD PPO, Medicare FFS, Maryland Physicians Care MCO, Veterans Affairs Community Care Network, Advantra Platinum (PPO), Aetna Better Health of Maryland, BCBS Out-of-State Medicare Plans (Blue Advantage), Employee Health Plan, Choice POS II Open Access, Navigate, Police and Fire Clinic, Network OA, Aetna Classic 3500 and CareFirst MedStar Select PPO.
According to our sources, Dr. Roquell E. Wyche, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Roquell E. Wyche, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| Boston Scientific Corporation |
$37
GENERAL STENTS $37 |
|---|---|
| Novartis Pharmaceuticals Corporation |
$24
ENTRESTO $24 |
| Abbott Laboratories |
$13
JOT DX $13 |
| Food and Beverage | $75 |
|---|
Dr. Roquell Wyche's area of specialization is adult cardiology. Her education and training includes medical school at George Washington University School of Medicine and Health Sciences and residency at Washington Hospital Center and Howard University Hospital. Dr. Wyche's areas of expertise include the following: prostate problems, heart bypass surgery (CABG), and eisenmenger syndrome. Anthem, Blue California, and Coventry seem to be the insurance carriers that Dr. Wyche accepts. She is affiliated with MedStar Washington Hospital Center.