| National Provider Identifier [NPI]: | 1316934649 |
| Last Name Of The Provider | MATCHETT |
| First Name Of The Provider | WILMA |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 500 S UNIVERSITY AVE |
| Street Address 2 Of The Provider | SUITE 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 | 303 |
| Number Of Services | 9905 |
| Number Of Medicare Beneficiaries | 4588 |
| Total Submitted Charge Amount | 890269.5 |
| Total Medicare Allowed Amount | 286788.71 |
| Total Medicare Payment Amount | 220174.23 |
| Total Medicare Standardized Payment Amount | 240232.71 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 3139 |
| Number Of Medicare Beneficiaries With Drug Services | 40 |
| Total Drug Submitted ChargeAmount | 2127.5 |
| Total Drug Medicare AllowedAmount | 880.86 |
| Total Drug Medicare PaymentAmount | 690.6 |
| Total Drug Medicare Standardized Payment Amount | 690.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 299 |
| Number Of Medical Services | 6766 |
| Number Of Medicare Beneficiaries With Medical Services | 4588 |
| Total Medical Submitted Charge Amount | 888142 |
| Total Medical Medicare Allowed Amount | 285907.85 |
| Total Medical Medicare Payment Amount | 219483.63 |
| Total Medical Medicare Standardized Payment Amount | 239542.11 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 991 |
| Number Of Beneficiaries Age 65 to 74 | 1583 |
| Number Of Beneficiaries Age 75 to 84 | 1322 |
| Number Of Beneficiaries Age Greater 84 | 692 |
| Number Of Female Beneficiaries | 2745 |
| Number Of Male Beneficiaries | 1843 |
| Number Of Non Hispanic White Beneficiaries | 3856 |
| Number Of Black or African American Beneficiaries | 631 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 45 |
| Number Of American Indian Alaska Native Beneficiaries | 20 |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3214 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1374 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.5841 |