| National Provider Identifier [NPI]: | 1265493316 |
| Last Name Of The Provider | WAUGH |
| First Name Of The Provider | KIMBERLY |
| 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 | 1901 MEDI PARK |
| Street Address 2 Of The Provider | STE 2050 |
| City Of The Provider | AMARILLO |
| Zip Code Of The Provider | 791062110 |
| 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 | 159 |
| Number Of Services | 9074 |
| Number Of Medicare Beneficiaries | 4634 |
| Total Submitted Charge Amount | 870091 |
| Total Medicare Allowed Amount | 196255.4 |
| Total Medicare Payment Amount | 148096.3 |
| Total Medicare Standardized Payment Amount | 156223.5 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2200 |
| Number Of Medicare Beneficiaries With Drug Services | 21 |
| Total Drug Submitted ChargeAmount | 3360 |
| Total Drug Medicare AllowedAmount | 432.6 |
| Total Drug Medicare PaymentAmount | 339.16 |
| Total Drug Medicare Standardized Payment Amount | 339.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 158 |
| Number Of Medical Services | 6874 |
| Number Of Medicare Beneficiaries With Medical Services | 4634 |
| Total Medical Submitted Charge Amount | 866731 |
| Total Medical Medicare Allowed Amount | 195822.8 |
| Total Medical Medicare Payment Amount | 147757.14 |
| Total Medical Medicare Standardized Payment Amount | 155884.34 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 637 |
| Number Of Beneficiaries Age 65 to 74 | 1652 |
| Number Of Beneficiaries Age 75 to 84 | 1536 |
| Number Of Beneficiaries Age Greater 84 | 809 |
| Number Of Female Beneficiaries | 2790 |
| Number Of Male Beneficiaries | 1844 |
| Number Of Non Hispanic White Beneficiaries | 3766 |
| Number Of Black or African American Beneficiaries | 141 |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | 663 |
| Number Of American Indian Alaska Native Beneficiaries | 19 |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3588 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1046 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5525 |