National Provider Identifier [NPI]: |
1922095140 |
Last Name Of The Provider |
WHITE |
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 |
500 S UNIVERSITY AVE |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722055302 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
203 |
Number Of Services |
7752 |
Number Of Medicare Beneficiaries |
3877 |
Total Submitted Charge Amount |
880288 |
Total Medicare Allowed Amount |
326616.09 |
Total Medicare Payment Amount |
259050.26 |
Total Medicare Standardized Payment Amount |
286557.75 |
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 |
203 |
Number Of Medical Services |
7752 |
Number Of Medicare Beneficiaries With Medical Services |
3877 |
Total Medical Submitted Charge Amount |
880288 |
Total Medical Medicare Allowed Amount |
326616.09 |
Total Medical Medicare Payment Amount |
259050.26 |
Total Medical Medicare Standardized Payment Amount |
286557.75 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
829 |
Number Of Beneficiaries Age 65 to 74 |
1445 |
Number Of Beneficiaries Age 75 to 84 |
1081 |
Number Of Beneficiaries Age Greater 84 |
522 |
Number Of Female Beneficiaries |
2553 |
Number Of Male Beneficiaries |
1324 |
Number Of Non Hispanic White Beneficiaries |
3668 |
Number Of Black or African American Beneficiaries |
160 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
2595 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1282 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4043 |