| National Provider Identifier [NPI]: | 1841322179 |
| Last Name Of The Provider | WATSON |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | K |
| 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 EAST |
| Street Address 2 Of The Provider | |
| 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 | 194 |
| Number Of Services | 10292 |
| Number Of Medicare Beneficiaries | 5423 |
| Total Submitted Charge Amount | 1105213 |
| Total Medicare Allowed Amount | 248256.26 |
| Total Medicare Payment Amount | 182799.12 |
| Total Medicare Standardized Payment Amount | 194565.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 1080 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 540 |
| Total Drug Medicare AllowedAmount | 199.64 |
| Total Drug Medicare PaymentAmount | 156.49 |
| Total Drug Medicare Standardized Payment Amount | 156.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 193 |
| Number Of Medical Services | 9212 |
| Number Of Medicare Beneficiaries With Medical Services | 5423 |
| Total Medical Submitted Charge Amount | 1104673 |
| Total Medical Medicare Allowed Amount | 248056.62 |
| Total Medical Medicare Payment Amount | 182642.63 |
| Total Medical Medicare Standardized Payment Amount | 194409.29 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 1790 |
| Number Of Beneficiaries Age 65 to 74 | 1847 |
| Number Of Beneficiaries Age 75 to 84 | 1235 |
| Number Of Beneficiaries Age Greater 84 | 551 |
| Number Of Female Beneficiaries | 3224 |
| Number Of Male Beneficiaries | 2199 |
| Number Of Non Hispanic White Beneficiaries | 5236 |
| Number Of Black or African American Beneficiaries | 127 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 17 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3256 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2167 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6339 |