| National Provider Identifier [NPI]: | 1053398271 |
| Last Name Of The Provider | FREY |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5016 S US HIGHWAY 75 |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | DENISON |
| Zip Code Of The Provider | 750204584 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 217 |
| Number Of Services | 8645 |
| Number Of Medicare Beneficiaries | 4954 |
| Total Submitted Charge Amount | 934581 |
| Total Medicare Allowed Amount | 237438.25 |
| Total Medicare Payment Amount | 182790.09 |
| Total Medicare Standardized Payment Amount | 193535.62 |
| 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 | 217 |
| Number Of Medical Services | 8645 |
| Number Of Medicare Beneficiaries With Medical Services | 4954 |
| Total Medical Submitted Charge Amount | 934581 |
| Total Medical Medicare Allowed Amount | 237438.25 |
| Total Medical Medicare Payment Amount | 182790.09 |
| Total Medical Medicare Standardized Payment Amount | 193535.62 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 900 |
| Number Of Beneficiaries Age 65 to 74 | 1898 |
| Number Of Beneficiaries Age 75 to 84 | 1460 |
| Number Of Beneficiaries Age Greater 84 | 696 |
| Number Of Female Beneficiaries | 2944 |
| Number Of Male Beneficiaries | 2010 |
| Number Of Non Hispanic White Beneficiaries | 4439 |
| Number Of Black or African American Beneficiaries | 156 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 81 |
| Number Of American Indian Alaska Native Beneficiaries | 243 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3514 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1440 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.7491 |