| National Provider Identifier [NPI]: | 1891882072 |
| Last Name Of The Provider | KING |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 675 HWY 62 E |
| Street Address 2 Of The Provider | STE 1 |
| City Of The Provider | MOUNTAIN HOME |
| Zip Code Of The Provider | 726532909 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 83 |
| Number Of Services | 19971 |
| Number Of Medicare Beneficiaries | 3566 |
| Total Submitted Charge Amount | 2057847 |
| Total Medicare Allowed Amount | 1233519.3 |
| Total Medicare Payment Amount | 894011.34 |
| Total Medicare Standardized Payment Amount | 982333.76 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 250 |
| Number Of Medicare Beneficiaries With Drug Services | 95 |
| Total Drug Submitted ChargeAmount | 52142 |
| Total Drug Medicare AllowedAmount | 49589.3 |
| Total Drug Medicare PaymentAmount | 38589.41 |
| Total Drug Medicare Standardized Payment Amount | 38589.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 81 |
| Number Of Medical Services | 19721 |
| Number Of Medicare Beneficiaries With Medical Services | 3566 |
| Total Medical Submitted Charge Amount | 2005705 |
| Total Medical Medicare Allowed Amount | 1183930 |
| Total Medical Medicare Payment Amount | 855421.93 |
| Total Medical Medicare Standardized Payment Amount | 943744.35 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 306 |
| Number Of Beneficiaries Age 65 to 74 | 1736 |
| Number Of Beneficiaries Age 75 to 84 | 1177 |
| Number Of Beneficiaries Age Greater 84 | 347 |
| Number Of Female Beneficiaries | 1783 |
| Number Of Male Beneficiaries | 1783 |
| Number Of Non Hispanic White Beneficiaries | 3516 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 14 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3240 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 326 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 14 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.9518 |