| National Provider Identifier [NPI]: | 1891786109 |
| Last Name Of The Provider | BONIFIELD |
| First Name Of The Provider | JAMES |
| 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 | 3417 ENSIGN RD NE |
| Street Address 2 Of The Provider | |
| City Of The Provider | OLYMPIA |
| Zip Code Of The Provider | 985065075 |
| State Code Of The Provider | WA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 235 |
| Number Of Services | 28520 |
| Number Of Medicare Beneficiaries | 6627 |
| Total Submitted Charge Amount | 2807872.98 |
| Total Medicare Allowed Amount | 832136.61 |
| Total Medicare Payment Amount | 673477.08 |
| Total Medicare Standardized Payment Amount | 673722.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 16344 |
| Number Of Medicare Beneficiaries With Drug Services | 195 |
| Total Drug Submitted ChargeAmount | 13343.55 |
| Total Drug Medicare AllowedAmount | 5473.14 |
| Total Drug Medicare PaymentAmount | 4248.81 |
| Total Drug Medicare Standardized Payment Amount | 4248.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 231 |
| Number Of Medical Services | 12176 |
| Number Of Medicare Beneficiaries With Medical Services | 6627 |
| Total Medical Submitted Charge Amount | 2794529.43 |
| Total Medical Medicare Allowed Amount | 826663.47 |
| Total Medical Medicare Payment Amount | 669228.27 |
| Total Medical Medicare Standardized Payment Amount | 669473.41 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 991 |
| Number Of Beneficiaries Age 65 to 74 | 2989 |
| Number Of Beneficiaries Age 75 to 84 | 1920 |
| Number Of Beneficiaries Age Greater 84 | 727 |
| Number Of Female Beneficiaries | 4614 |
| Number Of Male Beneficiaries | 2013 |
| Number Of Non Hispanic White Beneficiaries | 6158 |
| Number Of Black or African American Beneficiaries | 52 |
| Number Of AsianPacific Islander Beneficiaries | 87 |
| Number Of Hispanic Beneficiaries | 102 |
| Number Of American Indian Alaska Native Beneficiaries | 139 |
| Number Of Beneficiaries With Race Not Else where Classified | 89 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5424 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1203 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 27 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1185 |