| National Provider Identifier [NPI]: | 1083669246 |
| Last Name Of The Provider | WILLIAMS |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 S BECKHAM AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | TYLER |
| Zip Code Of The Provider | 757011908 |
| 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 | 281 |
| Number Of Services | 8066 |
| Number Of Medicare Beneficiaries | 5494 |
| Total Submitted Charge Amount | 1382982 |
| Total Medicare Allowed Amount | 338108.32 |
| Total Medicare Payment Amount | 259702.93 |
| Total Medicare Standardized Payment Amount | 272729.9 |
| 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 | 281 |
| Number Of Medical Services | 8066 |
| Number Of Medicare Beneficiaries With Medical Services | 5494 |
| Total Medical Submitted Charge Amount | 1382982 |
| Total Medical Medicare Allowed Amount | 338108.32 |
| Total Medical Medicare Payment Amount | 259702.93 |
| Total Medical Medicare Standardized Payment Amount | 272729.9 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 918 |
| Number Of Beneficiaries Age 65 to 74 | 2055 |
| Number Of Beneficiaries Age 75 to 84 | 1730 |
| Number Of Beneficiaries Age Greater 84 | 791 |
| Number Of Female Beneficiaries | 3099 |
| Number Of Male Beneficiaries | 2395 |
| Number Of Non Hispanic White Beneficiaries | 4621 |
| Number Of Black or African American Beneficiaries | 674 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 155 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4141 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1353 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.7329 |