| National Provider Identifier [NPI]: | 1437189099 |
| Last Name Of The Provider | MOLPUS |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5000 W 4TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | HATTIESBURG |
| Zip Code Of The Provider | 394021000 |
| 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 | 231 |
| Number Of Services | 13557 |
| Number Of Medicare Beneficiaries | 5036 |
| Total Submitted Charge Amount | 2092901 |
| Total Medicare Allowed Amount | 384912.99 |
| Total Medicare Payment Amount | 289162.84 |
| Total Medicare Standardized Payment Amount | 324052.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5697 |
| Number Of Medicare Beneficiaries With Drug Services | 155 |
| Total Drug Submitted ChargeAmount | 17830 |
| Total Drug Medicare AllowedAmount | 4680.85 |
| Total Drug Medicare PaymentAmount | 3514.37 |
| Total Drug Medicare Standardized Payment Amount | 3514.37 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 229 |
| Number Of Medical Services | 7860 |
| Number Of Medicare Beneficiaries With Medical Services | 5036 |
| Total Medical Submitted Charge Amount | 2075071 |
| Total Medical Medicare Allowed Amount | 380232.14 |
| Total Medical Medicare Payment Amount | 285648.47 |
| Total Medical Medicare Standardized Payment Amount | 320538.26 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1289 |
| Number Of Beneficiaries Age 65 to 74 | 1809 |
| Number Of Beneficiaries Age 75 to 84 | 1322 |
| Number Of Beneficiaries Age Greater 84 | 616 |
| Number Of Female Beneficiaries | 2969 |
| Number Of Male Beneficiaries | 2067 |
| Number Of Non Hispanic White Beneficiaries | 3764 |
| Number Of Black or African American Beneficiaries | 1222 |
| 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 | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2972 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2064 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7288 |