| National Provider Identifier [NPI]: | 1609818442 |
| Last Name Of The Provider | HANEY |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 620 CROSSOVER ROAD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TUPELO |
| Zip Code Of The Provider | 388014944 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 240 |
| Number Of Services | 22572 |
| Number Of Medicare Beneficiaries | 8720 |
| Total Submitted Charge Amount | 1556126.63 |
| Total Medicare Allowed Amount | 453412.81 |
| Total Medicare Payment Amount | 347832.38 |
| Total Medicare Standardized Payment Amount | 377285.4 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 8627 |
| Number Of Medicare Beneficiaries With Drug Services | 101 |
| Total Drug Submitted ChargeAmount | 9645.64 |
| Total Drug Medicare AllowedAmount | 2015.42 |
| Total Drug Medicare PaymentAmount | 1566.54 |
| Total Drug Medicare Standardized Payment Amount | 1566.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 237 |
| Number Of Medical Services | 13945 |
| Number Of Medicare Beneficiaries With Medical Services | 8720 |
| Total Medical Submitted Charge Amount | 1546480.99 |
| Total Medical Medicare Allowed Amount | 451397.39 |
| Total Medical Medicare Payment Amount | 346265.84 |
| Total Medical Medicare Standardized Payment Amount | 375718.86 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 2124 |
| Number Of Beneficiaries Age 65 to 74 | 3157 |
| Number Of Beneficiaries Age 75 to 84 | 2334 |
| Number Of Beneficiaries Age Greater 84 | 1105 |
| Number Of Female Beneficiaries | 5624 |
| Number Of Male Beneficiaries | 3096 |
| Number Of Non Hispanic White Beneficiaries | 6640 |
| Number Of Black or African American Beneficiaries | 2014 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5208 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3512 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3815 |