| National Provider Identifier [NPI]: | 1316127145 |
| Last Name Of The Provider | DERUSO |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2320 BATH ST STE 113 |
| Street Address 2 Of The Provider | |
| City Of The Provider | SANTA BARBARA |
| Zip Code Of The Provider | 931054377 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 208 |
| Number Of Services | 6819 |
| Number Of Medicare Beneficiaries | 3864 |
| Total Submitted Charge Amount | 1493043.84 |
| Total Medicare Allowed Amount | 421291.87 |
| Total Medicare Payment Amount | 322661.97 |
| Total Medicare Standardized Payment Amount | 295338 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 424 |
| Number Of Medicare Beneficiaries With Drug Services | 206 |
| Total Drug Submitted ChargeAmount | 19509.1 |
| Total Drug Medicare AllowedAmount | 310.2 |
| Total Drug Medicare PaymentAmount | 242.65 |
| Total Drug Medicare Standardized Payment Amount | 242.65 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 205 |
| Number Of Medical Services | 6395 |
| Number Of Medicare Beneficiaries With Medical Services | 3864 |
| Total Medical Submitted Charge Amount | 1473534.74 |
| Total Medical Medicare Allowed Amount | 420981.67 |
| Total Medical Medicare Payment Amount | 322419.32 |
| Total Medical Medicare Standardized Payment Amount | 295095.35 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 493 |
| Number Of Beneficiaries Age 65 to 74 | 1295 |
| Number Of Beneficiaries Age 75 to 84 | 1265 |
| Number Of Beneficiaries Age Greater 84 | 811 |
| Number Of Female Beneficiaries | 2321 |
| Number Of Male Beneficiaries | 1543 |
| Number Of Non Hispanic White Beneficiaries | 2582 |
| Number Of Black or African American Beneficiaries | 99 |
| Number Of AsianPacific Islander Beneficiaries | 169 |
| Number Of Hispanic Beneficiaries | 948 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2771 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1093 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7941 |