| National Provider Identifier [NPI]: | 1003806076 |
| Last Name Of The Provider | TAYLOR |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD PHD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3501 N SCOTTSDALE RD |
| Street Address 2 Of The Provider | STE 130 |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852515648 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 168 |
| Number Of Services | 7809 |
| Number Of Medicare Beneficiaries | 4310 |
| Total Submitted Charge Amount | 860055.3 |
| Total Medicare Allowed Amount | 199996.65 |
| Total Medicare Payment Amount | 141990.3 |
| Total Medicare Standardized Payment Amount | 145618.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 332 |
| Number Of Medicare Beneficiaries With Drug Services | 17 |
| Total Drug Submitted ChargeAmount | 5530.3 |
| Total Drug Medicare AllowedAmount | 130.01 |
| Total Drug Medicare PaymentAmount | 83.77 |
| Total Drug Medicare Standardized Payment Amount | 83.77 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 165 |
| Number Of Medical Services | 7477 |
| Number Of Medicare Beneficiaries With Medical Services | 4310 |
| Total Medical Submitted Charge Amount | 854525 |
| Total Medical Medicare Allowed Amount | 199866.64 |
| Total Medical Medicare Payment Amount | 141906.53 |
| Total Medical Medicare Standardized Payment Amount | 145534.5 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 321 |
| Number Of Beneficiaries Age 65 to 74 | 1666 |
| Number Of Beneficiaries Age 75 to 84 | 1367 |
| Number Of Beneficiaries Age Greater 84 | 956 |
| Number Of Female Beneficiaries | 2399 |
| Number Of Male Beneficiaries | 1911 |
| Number Of Non Hispanic White Beneficiaries | 3970 |
| Number Of Black or African American Beneficiaries | 78 |
| Number Of AsianPacific Islander Beneficiaries | 40 |
| Number Of Hispanic Beneficiaries | 112 |
| Number Of American Indian Alaska Native Beneficiaries | 74 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3946 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 364 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6056 |