| National Provider Identifier [NPI]: | 1225015969 |
| Last Name Of The Provider | SIEGLER |
| First Name Of The Provider | CHARLES |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5221 US ROUTE 60 E |
| Street Address 2 Of The Provider | RADIOLOGY INC |
| City Of The Provider | HUNTINGTON |
| Zip Code Of The Provider | 257052022 |
| State Code Of The Provider | WV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 203 |
| Number Of Services | 8349 |
| Number Of Medicare Beneficiaries | 5275 |
| Total Submitted Charge Amount | 1033588 |
| Total Medicare Allowed Amount | 228845.44 |
| Total Medicare Payment Amount | 167087.72 |
| Total Medicare Standardized Payment Amount | 177418.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 8349 |
| Number Of Medicare Beneficiaries With Medical Services | 5275 |
| Total Medical Submitted Charge Amount | 1033588 |
| Total Medical Medicare Allowed Amount | 228845.44 |
| Total Medical Medicare Payment Amount | 167087.72 |
| Total Medical Medicare Standardized Payment Amount | 177418.61 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 1608 |
| Number Of Beneficiaries Age 65 to 74 | 1948 |
| Number Of Beneficiaries Age 75 to 84 | 1225 |
| Number Of Beneficiaries Age Greater 84 | 494 |
| Number Of Female Beneficiaries | 3055 |
| Number Of Male Beneficiaries | 2220 |
| Number Of Non Hispanic White Beneficiaries | 5105 |
| Number Of Black or African American Beneficiaries | 118 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3193 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2082 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6586 |