| National Provider Identifier [NPI]: | 1487660007 |
| Last Name Of The Provider | WEST |
| First Name Of The Provider | ANDREW |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 70 DOCTORS PARK |
| Street Address 2 Of The Provider | |
| City Of The Provider | CAPE GIRARDEAU |
| Zip Code Of The Provider | 637034928 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 95 |
| Number Of Services | 4352 |
| Number Of Medicare Beneficiaries | 2952 |
| Total Submitted Charge Amount | 1173936.8 |
| Total Medicare Allowed Amount | 278983.73 |
| Total Medicare Payment Amount | 214047.45 |
| Total Medicare Standardized Payment Amount | 229063.72 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 295 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 2194.8 |
| Total Drug Medicare AllowedAmount | 585.04 |
| Total Drug Medicare PaymentAmount | 419.22 |
| Total Drug Medicare Standardized Payment Amount | 419.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 94 |
| Number Of Medical Services | 4057 |
| Number Of Medicare Beneficiaries With Medical Services | 2952 |
| Total Medical Submitted Charge Amount | 1171742 |
| Total Medical Medicare Allowed Amount | 278398.69 |
| Total Medical Medicare Payment Amount | 213628.23 |
| Total Medical Medicare Standardized Payment Amount | 228644.5 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 875 |
| Number Of Beneficiaries Age 65 to 74 | 1044 |
| Number Of Beneficiaries Age 75 to 84 | 739 |
| Number Of Beneficiaries Age Greater 84 | 294 |
| Number Of Female Beneficiaries | 1727 |
| Number Of Male Beneficiaries | 1225 |
| Number Of Non Hispanic White Beneficiaries | 2734 |
| Number Of Black or African American Beneficiaries | 177 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 17 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1887 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1065 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 1.4783 |