| National Provider Identifier [NPI]: | 1760566566 |
| Last Name Of The Provider | CHRISTIE |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2650 E IMPERIAL HWY |
| Street Address 2 Of The Provider | SUITE 202 |
| City Of The Provider | BREA |
| Zip Code Of The Provider | 928216103 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 10 |
| Number Of Services | 18624 |
| Number Of Medicare Beneficiaries | 3862 |
| Total Submitted Charge Amount | 1336420 |
| Total Medicare Allowed Amount | 994540.21 |
| Total Medicare Payment Amount | 778390.22 |
| Total Medicare Standardized Payment Amount | 730679.05 |
| 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 | 10 |
| Number Of Medical Services | 18624 |
| Number Of Medicare Beneficiaries With Medical Services | 3862 |
| Total Medical Submitted Charge Amount | 1336420 |
| Total Medical Medicare Allowed Amount | 994540.21 |
| Total Medical Medicare Payment Amount | 778390.22 |
| Total Medical Medicare Standardized Payment Amount | 730679.05 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 575 |
| Number Of Beneficiaries Age 65 to 74 | 865 |
| Number Of Beneficiaries Age 75 to 84 | 1102 |
| Number Of Beneficiaries Age Greater 84 | 1320 |
| Number Of Female Beneficiaries | 2209 |
| Number Of Male Beneficiaries | 1653 |
| Number Of Non Hispanic White Beneficiaries | 1446 |
| Number Of Black or African American Beneficiaries | 532 |
| Number Of AsianPacific Islander Beneficiaries | 707 |
| Number Of Hispanic Beneficiaries | 1096 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 180 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3682 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 73 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 50 |
| Percent Of With Diabetes | 57 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 44 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 3.161 |