| National Provider Identifier [NPI]: | 1083618359 |
| Last Name Of The Provider | COUREY |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 289 PLEASANT ST |
| Street Address 2 Of The Provider | STE 101 |
| City Of The Provider | FALL RIVER |
| Zip Code Of The Provider | 027213005 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 125 |
| Number Of Services | 61948 |
| Number Of Medicare Beneficiaries | 4158 |
| Total Submitted Charge Amount | 3842239 |
| Total Medicare Allowed Amount | 729951.21 |
| Total Medicare Payment Amount | 567473.22 |
| Total Medicare Standardized Payment Amount | 545989.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 53700 |
| Number Of Medicare Beneficiaries With Drug Services | 501 |
| Total Drug Submitted ChargeAmount | 53700 |
| Total Drug Medicare AllowedAmount | 9943.7 |
| Total Drug Medicare PaymentAmount | 7781.58 |
| Total Drug Medicare Standardized Payment Amount | 7781.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 124 |
| Number Of Medical Services | 8248 |
| Number Of Medicare Beneficiaries With Medical Services | 4158 |
| Total Medical Submitted Charge Amount | 3788539 |
| Total Medical Medicare Allowed Amount | 720007.51 |
| Total Medical Medicare Payment Amount | 559691.64 |
| Total Medical Medicare Standardized Payment Amount | 538207.46 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1225 |
| Number Of Beneficiaries Age 65 to 74 | 1528 |
| Number Of Beneficiaries Age 75 to 84 | 944 |
| Number Of Beneficiaries Age Greater 84 | 461 |
| Number Of Female Beneficiaries | 2599 |
| Number Of Male Beneficiaries | 1559 |
| Number Of Non Hispanic White Beneficiaries | 3703 |
| Number Of Black or African American Beneficiaries | 45 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 292 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 81 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2526 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1632 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2097 |