| National Provider Identifier [NPI]: | 1154303642 |
| Last Name Of The Provider | HUTSEY |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3600 E HARRY ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | WICHITA |
| Zip Code Of The Provider | 672183713 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 218 |
| Number Of Services | 6600 |
| Number Of Medicare Beneficiaries | 4554 |
| Total Submitted Charge Amount | 567375 |
| Total Medicare Allowed Amount | 186643.6 |
| Total Medicare Payment Amount | 148052.5 |
| Total Medicare Standardized Payment Amount | 154889.53 |
| 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 | 218 |
| Number Of Medical Services | 6600 |
| Number Of Medicare Beneficiaries With Medical Services | 4554 |
| Total Medical Submitted Charge Amount | 567375 |
| Total Medical Medicare Allowed Amount | 186643.6 |
| Total Medical Medicare Payment Amount | 148052.5 |
| Total Medical Medicare Standardized Payment Amount | 154889.53 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 822 |
| Number Of Beneficiaries Age 65 to 74 | 1543 |
| Number Of Beneficiaries Age 75 to 84 | 1447 |
| Number Of Beneficiaries Age Greater 84 | 742 |
| Number Of Female Beneficiaries | 2802 |
| Number Of Male Beneficiaries | 1752 |
| Number Of Non Hispanic White Beneficiaries | 4197 |
| Number Of Black or African American Beneficiaries | 177 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 92 |
| Number Of American Indian Alaska Native Beneficiaries | 34 |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3467 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1087 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5682 |