| National Provider Identifier [NPI]: | 1871548818 |
| Last Name Of The Provider | KLEIN |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4220 HARDING RD |
| Street Address 2 Of The Provider | ST THOMAS HOSPITAL |
| City Of The Provider | NASHVILLE |
| Zip Code Of The Provider | 37205 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 176 |
| Number Of Services | 6603 |
| Number Of Medicare Beneficiaries | 4360 |
| Total Submitted Charge Amount | 601905.5 |
| Total Medicare Allowed Amount | 191564.1 |
| Total Medicare Payment Amount | 147428.48 |
| Total Medicare Standardized Payment Amount | 157904.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 684 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 3420 |
| Total Drug Medicare AllowedAmount | 1346.32 |
| Total Drug Medicare PaymentAmount | 1044.42 |
| Total Drug Medicare Standardized Payment Amount | 1044.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 175 |
| Number Of Medical Services | 5919 |
| Number Of Medicare Beneficiaries With Medical Services | 4360 |
| Total Medical Submitted Charge Amount | 598485.5 |
| Total Medical Medicare Allowed Amount | 190217.78 |
| Total Medical Medicare Payment Amount | 146384.06 |
| Total Medical Medicare Standardized Payment Amount | 156859.97 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 931 |
| Number Of Beneficiaries Age 65 to 74 | 1526 |
| Number Of Beneficiaries Age 75 to 84 | 1234 |
| Number Of Beneficiaries Age Greater 84 | 669 |
| Number Of Female Beneficiaries | 2527 |
| Number Of Male Beneficiaries | 1833 |
| Number Of Non Hispanic White Beneficiaries | 3811 |
| Number Of Black or African American Beneficiaries | 444 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 46 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3193 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1167 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8995 |