| National Provider Identifier [NPI]: | 1285671255 |
| Last Name Of The Provider | BAKER |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 305 LANGDON ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SOMERSET |
| Zip Code Of The Provider | 425032750 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 221 |
| Number Of Services | 11574 |
| Number Of Medicare Beneficiaries | 4992 |
| Total Submitted Charge Amount | 1192622 |
| Total Medicare Allowed Amount | 314190.2 |
| Total Medicare Payment Amount | 237412.7 |
| Total Medicare Standardized Payment Amount | 253173.33 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1775 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 1399 |
| Total Drug Medicare AllowedAmount | 539.25 |
| Total Drug Medicare PaymentAmount | 411.9 |
| Total Drug Medicare Standardized Payment Amount | 411.9 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 218 |
| Number Of Medical Services | 9799 |
| Number Of Medicare Beneficiaries With Medical Services | 4992 |
| Total Medical Submitted Charge Amount | 1191223 |
| Total Medical Medicare Allowed Amount | 313650.95 |
| Total Medical Medicare Payment Amount | 237000.8 |
| Total Medical Medicare Standardized Payment Amount | 252761.43 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 1555 |
| Number Of Beneficiaries Age 65 to 74 | 1755 |
| Number Of Beneficiaries Age 75 to 84 | 1204 |
| Number Of Beneficiaries Age Greater 84 | 478 |
| Number Of Female Beneficiaries | 2986 |
| Number Of Male Beneficiaries | 2006 |
| Number Of Non Hispanic White Beneficiaries | 4893 |
| Number Of Black or African American Beneficiaries | 47 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 21 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2717 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2275 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4001 |