| National Provider Identifier [NPI]: | 1316037856 |
| Last Name Of The Provider | MESEROLL |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 121 SOTOYOME ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SANTA ROSA |
| Zip Code Of The Provider | 954054823 |
| 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 | 218 |
| Number Of Services | 8535 |
| Number Of Medicare Beneficiaries | 3863 |
| Total Submitted Charge Amount | 379890.3 |
| Total Medicare Allowed Amount | 192835.47 |
| Total Medicare Payment Amount | 149307.16 |
| Total Medicare Standardized Payment Amount | 146863.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1665 |
| Number Of Medicare Beneficiaries With Drug Services | 18 |
| Total Drug Submitted ChargeAmount | 3525 |
| Total Drug Medicare AllowedAmount | 350.87 |
| Total Drug Medicare PaymentAmount | 275.05 |
| Total Drug Medicare Standardized Payment Amount | 275.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 215 |
| Number Of Medical Services | 6870 |
| Number Of Medicare Beneficiaries With Medical Services | 3863 |
| Total Medical Submitted Charge Amount | 376365.3 |
| Total Medical Medicare Allowed Amount | 192484.6 |
| Total Medical Medicare Payment Amount | 149032.11 |
| Total Medical Medicare Standardized Payment Amount | 146588.34 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 579 |
| Number Of Beneficiaries Age 65 to 74 | 1446 |
| Number Of Beneficiaries Age 75 to 84 | 1036 |
| Number Of Beneficiaries Age Greater 84 | 802 |
| Number Of Female Beneficiaries | 2388 |
| Number Of Male Beneficiaries | 1475 |
| Number Of Non Hispanic White Beneficiaries | 3352 |
| Number Of Black or African American Beneficiaries | 54 |
| Number Of AsianPacific Islander Beneficiaries | 88 |
| Number Of Hispanic Beneficiaries | 267 |
| Number Of American Indian Alaska Native Beneficiaries | 34 |
| Number Of Beneficiaries With Race Not Else where Classified | 68 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2803 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1060 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5131 |