| National Provider Identifier [NPI]: | 1740359231 |
| Last Name Of The Provider | KING |
| First Name Of The Provider | SCOTT |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 801 S STEVENS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SPOKANE |
| Zip Code Of The Provider | 992042654 |
| State Code Of The Provider | WA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 180 |
| Number Of Services | 25892 |
| Number Of Medicare Beneficiaries | 3445 |
| Total Submitted Charge Amount | 1224075.84 |
| Total Medicare Allowed Amount | 342051.37 |
| Total Medicare Payment Amount | 255409.9 |
| Total Medicare Standardized Payment Amount | 257149.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 21093 |
| Number Of Medicare Beneficiaries With Drug Services | 247 |
| Total Drug Submitted ChargeAmount | 15987.7 |
| Total Drug Medicare AllowedAmount | 7246.46 |
| Total Drug Medicare PaymentAmount | 5674.77 |
| Total Drug Medicare Standardized Payment Amount | 5674.77 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 174 |
| Number Of Medical Services | 4799 |
| Number Of Medicare Beneficiaries With Medical Services | 3445 |
| Total Medical Submitted Charge Amount | 1208088.14 |
| Total Medical Medicare Allowed Amount | 334804.91 |
| Total Medical Medicare Payment Amount | 249735.13 |
| Total Medical Medicare Standardized Payment Amount | 251474.9 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 610 |
| Number Of Beneficiaries Age 65 to 74 | 1203 |
| Number Of Beneficiaries Age 75 to 84 | 1093 |
| Number Of Beneficiaries Age Greater 84 | 539 |
| Number Of Female Beneficiaries | 1873 |
| Number Of Male Beneficiaries | 1572 |
| Number Of Non Hispanic White Beneficiaries | 3179 |
| Number Of Black or African American Beneficiaries | 47 |
| Number Of AsianPacific Islander Beneficiaries | 42 |
| Number Of Hispanic Beneficiaries | 77 |
| Number Of American Indian Alaska Native Beneficiaries | 64 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2611 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 834 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 50 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.749 |