| National Provider Identifier [NPI]: | 1053378794 |
| Last Name Of The Provider | CARSON |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 34800 BOB WILSON DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAN DIEGO |
| Zip Code Of The Provider | 921341098 |
| 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 | 31875 |
| Number Of Medicare Beneficiaries | 4923 |
| Total Submitted Charge Amount | 1910416.4 |
| Total Medicare Allowed Amount | 417829.04 |
| Total Medicare Payment Amount | 314627.11 |
| Total Medicare Standardized Payment Amount | 307157.98 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 24369 |
| Number Of Medicare Beneficiaries With Drug Services | 281 |
| Total Drug Submitted ChargeAmount | 24451 |
| Total Drug Medicare AllowedAmount | 5568.1 |
| Total Drug Medicare PaymentAmount | 4300.05 |
| Total Drug Medicare Standardized Payment Amount | 4300.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 199 |
| Number Of Medical Services | 7506 |
| Number Of Medicare Beneficiaries With Medical Services | 4923 |
| Total Medical Submitted Charge Amount | 1885965.4 |
| Total Medical Medicare Allowed Amount | 412260.94 |
| Total Medical Medicare Payment Amount | 310327.06 |
| Total Medical Medicare Standardized Payment Amount | 302857.93 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 922 |
| Number Of Beneficiaries Age 65 to 74 | 1765 |
| Number Of Beneficiaries Age 75 to 84 | 1366 |
| Number Of Beneficiaries Age Greater 84 | 870 |
| Number Of Female Beneficiaries | 2780 |
| Number Of Male Beneficiaries | 2143 |
| Number Of Non Hispanic White Beneficiaries | 2814 |
| Number Of Black or African American Beneficiaries | 310 |
| Number Of AsianPacific Islander Beneficiaries | 346 |
| Number Of Hispanic Beneficiaries | 1354 |
| Number Of American Indian Alaska Native Beneficiaries | 47 |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2671 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2252 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9876 |