| National Provider Identifier [NPI]: | 1326122201 |
| Last Name Of The Provider | HINSON |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 N OAK AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MARSHFIELD |
| Zip Code Of The Provider | 54449 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 138 |
| Number Of Services | 16460 |
| Number Of Medicare Beneficiaries | 3182 |
| Total Submitted Charge Amount | 1301235 |
| Total Medicare Allowed Amount | 176967.57 |
| Total Medicare Payment Amount | 131094.49 |
| Total Medicare Standardized Payment Amount | 138973.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 11718 |
| Number Of Medicare Beneficiaries With Drug Services | 135 |
| Total Drug Submitted ChargeAmount | 12491.6 |
| Total Drug Medicare AllowedAmount | 2320.05 |
| Total Drug Medicare PaymentAmount | 1726.55 |
| Total Drug Medicare Standardized Payment Amount | 1726.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 134 |
| Number Of Medical Services | 4742 |
| Number Of Medicare Beneficiaries With Medical Services | 3173 |
| Total Medical Submitted Charge Amount | 1288743.4 |
| Total Medical Medicare Allowed Amount | 174647.52 |
| Total Medical Medicare Payment Amount | 129367.94 |
| Total Medical Medicare Standardized Payment Amount | 137246.7 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 645 |
| Number Of Beneficiaries Age 65 to 74 | 1142 |
| Number Of Beneficiaries Age 75 to 84 | 988 |
| Number Of Beneficiaries Age Greater 84 | 407 |
| Number Of Female Beneficiaries | 1759 |
| Number Of Male Beneficiaries | 1423 |
| Number Of Non Hispanic White Beneficiaries | 3063 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | 48 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2172 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1010 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.691 |