| National Provider Identifier [NPI]: | 1497700579 |
| Last Name Of The Provider | WARD |
| First Name Of The Provider | STEPHEN |
| Middle Initial Of The Provider | V |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 77 W FOREST AVENUE |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | FLAGSTAFF |
| Zip Code Of The Provider | 860011482 |
| 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 | 265 |
| Number Of Services | 14976 |
| Number Of Medicare Beneficiaries | 2561 |
| Total Submitted Charge Amount | 1237048.15 |
| Total Medicare Allowed Amount | 301151.1 |
| Total Medicare Payment Amount | 232480.11 |
| Total Medicare Standardized Payment Amount | 237275.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 10345 |
| Number Of Medicare Beneficiaries With Drug Services | 178 |
| Total Drug Submitted ChargeAmount | 13130.09 |
| Total Drug Medicare AllowedAmount | 3849.98 |
| Total Drug Medicare PaymentAmount | 2963.6 |
| Total Drug Medicare Standardized Payment Amount | 2963.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 256 |
| Number Of Medical Services | 4631 |
| Number Of Medicare Beneficiaries With Medical Services | 2561 |
| Total Medical Submitted Charge Amount | 1223918.06 |
| Total Medical Medicare Allowed Amount | 297301.12 |
| Total Medical Medicare Payment Amount | 229516.51 |
| Total Medical Medicare Standardized Payment Amount | 234311.57 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 367 |
| Number Of Beneficiaries Age 65 to 74 | 1159 |
| Number Of Beneficiaries Age 75 to 84 | 706 |
| Number Of Beneficiaries Age Greater 84 | 329 |
| Number Of Female Beneficiaries | 1438 |
| Number Of Male Beneficiaries | 1123 |
| Number Of Non Hispanic White Beneficiaries | 1747 |
| Number Of Black or African American Beneficiaries | 33 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 187 |
| Number Of American Indian Alaska Native Beneficiaries | 549 |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1890 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 671 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4957 |