| National Provider Identifier [NPI]: | 1295775765 |
| Last Name Of The Provider | SORENSEN |
| First Name Of The Provider | KATHLEEN |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6901 MEDICAL PKWY |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | WACO |
| Zip Code Of The Provider | 767127910 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 137 |
| Number Of Services | 6603 |
| Number Of Medicare Beneficiaries | 3896 |
| Total Submitted Charge Amount | 1093325 |
| Total Medicare Allowed Amount | 258444.35 |
| Total Medicare Payment Amount | 187852.58 |
| Total Medicare Standardized Payment Amount | 197897.35 |
| 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 | 137 |
| Number Of Medical Services | 6603 |
| Number Of Medicare Beneficiaries With Medical Services | 3896 |
| Total Medical Submitted Charge Amount | 1093325 |
| Total Medical Medicare Allowed Amount | 258444.35 |
| Total Medical Medicare Payment Amount | 187852.58 |
| Total Medical Medicare Standardized Payment Amount | 197897.35 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 829 |
| Number Of Beneficiaries Age 65 to 74 | 1360 |
| Number Of Beneficiaries Age 75 to 84 | 1142 |
| Number Of Beneficiaries Age Greater 84 | 565 |
| Number Of Female Beneficiaries | 2249 |
| Number Of Male Beneficiaries | 1647 |
| Number Of Non Hispanic White Beneficiaries | 3032 |
| Number Of Black or African American Beneficiaries | 515 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 308 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2823 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1073 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6526 |