| National Provider Identifier [NPI]: | 1922038314 |
| Last Name Of The Provider | HODDICK |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2125 OAK GROVE RD |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | WALNUT CREEK |
| Zip Code Of The Provider | 945982536 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 181 |
| Number Of Services | 14144 |
| Number Of Medicare Beneficiaries | 4325 |
| Total Submitted Charge Amount | 1208216.2 |
| Total Medicare Allowed Amount | 246635.28 |
| Total Medicare Payment Amount | 188430.69 |
| Total Medicare Standardized Payment Amount | 170690.71 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 6590 |
| Number Of Medicare Beneficiaries With Drug Services | 73 |
| Total Drug Submitted ChargeAmount | 7374.2 |
| Total Drug Medicare AllowedAmount | 1856.94 |
| Total Drug Medicare PaymentAmount | 1373.59 |
| Total Drug Medicare Standardized Payment Amount | 1373.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 177 |
| Number Of Medical Services | 7554 |
| Number Of Medicare Beneficiaries With Medical Services | 4325 |
| Total Medical Submitted Charge Amount | 1200842 |
| Total Medical Medicare Allowed Amount | 244778.34 |
| Total Medical Medicare Payment Amount | 187057.1 |
| Total Medical Medicare Standardized Payment Amount | 169317.12 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 622 |
| Number Of Beneficiaries Age 65 to 74 | 1408 |
| Number Of Beneficiaries Age 75 to 84 | 1249 |
| Number Of Beneficiaries Age Greater 84 | 1046 |
| Number Of Female Beneficiaries | 2437 |
| Number Of Male Beneficiaries | 1888 |
| Number Of Non Hispanic White Beneficiaries | 3294 |
| Number Of Black or African American Beneficiaries | 275 |
| Number Of AsianPacific Islander Beneficiaries | 275 |
| Number Of Hispanic Beneficiaries | 378 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3191 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1134 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.9621 |