| National Provider Identifier [NPI]: | 1598719262 |
| Last Name Of The Provider | KING |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9601 BAPTIST HEALTH DR |
| Street Address 2 Of The Provider | SUITE 1100 |
| City Of The Provider | LITTLE ROCK |
| Zip Code Of The Provider | 722056321 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 166 |
| Number Of Services | 5880 |
| Number Of Medicare Beneficiaries | 4346 |
| Total Submitted Charge Amount | 687341 |
| Total Medicare Allowed Amount | 185007.91 |
| Total Medicare Payment Amount | 141979.04 |
| Total Medicare Standardized Payment Amount | 154911.61 |
| 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 | 166 |
| Number Of Medical Services | 5880 |
| Number Of Medicare Beneficiaries With Medical Services | 4346 |
| Total Medical Submitted Charge Amount | 687341 |
| Total Medical Medicare Allowed Amount | 185007.91 |
| Total Medical Medicare Payment Amount | 141979.04 |
| Total Medical Medicare Standardized Payment Amount | 154911.61 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 854 |
| Number Of Beneficiaries Age 65 to 74 | 1676 |
| Number Of Beneficiaries Age 75 to 84 | 1244 |
| Number Of Beneficiaries Age Greater 84 | 572 |
| Number Of Female Beneficiaries | 2867 |
| Number Of Male Beneficiaries | 1479 |
| Number Of Non Hispanic White Beneficiaries | 3688 |
| Number Of Black or African American Beneficiaries | 599 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 25 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3358 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 988 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5453 |