| National Provider Identifier [NPI]: | 1740220003 |
| Last Name Of The Provider | WAY |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3949 BROWNING PL |
| Street Address 2 Of The Provider | |
| City Of The Provider | RALEIGH |
| Zip Code Of The Provider | 276096504 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 166 |
| Number Of Services | 17742 |
| Number Of Medicare Beneficiaries | 2745 |
| Total Submitted Charge Amount | 1110235.25 |
| Total Medicare Allowed Amount | 216383.57 |
| Total Medicare Payment Amount | 163347.57 |
| Total Medicare Standardized Payment Amount | 170707.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 13881 |
| Number Of Medicare Beneficiaries With Drug Services | 131 |
| Total Drug Submitted ChargeAmount | 5516.25 |
| Total Drug Medicare AllowedAmount | 3058.79 |
| Total Drug Medicare PaymentAmount | 2384.3 |
| Total Drug Medicare Standardized Payment Amount | 2384.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 164 |
| Number Of Medical Services | 3861 |
| Number Of Medicare Beneficiaries With Medical Services | 2745 |
| Total Medical Submitted Charge Amount | 1104719 |
| Total Medical Medicare Allowed Amount | 213324.78 |
| Total Medical Medicare Payment Amount | 160963.27 |
| Total Medical Medicare Standardized Payment Amount | 168322.82 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 607 |
| Number Of Beneficiaries Age 65 to 74 | 977 |
| Number Of Beneficiaries Age 75 to 84 | 776 |
| Number Of Beneficiaries Age Greater 84 | 385 |
| Number Of Female Beneficiaries | 1628 |
| Number Of Male Beneficiaries | 1117 |
| Number Of Non Hispanic White Beneficiaries | 1842 |
| Number Of Black or African American Beneficiaries | 808 |
| Number Of AsianPacific Islander Beneficiaries | 27 |
| Number Of Hispanic Beneficiaries | 41 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1829 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 916 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7338 |