| National Provider Identifier [NPI]: | 1811091192 |
| Last Name Of The Provider | BOREN |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3025 S RAINBOW BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 891466582 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 256 |
| Number Of Services | 58087 |
| Number Of Medicare Beneficiaries | 3899 |
| Total Submitted Charge Amount | 4359263.21 |
| Total Medicare Allowed Amount | 1273537.56 |
| Total Medicare Payment Amount | 994796.38 |
| Total Medicare Standardized Payment Amount | 976214.44 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 50538 |
| Number Of Medicare Beneficiaries With Drug Services | 865 |
| Total Drug Submitted ChargeAmount | 99449.4 |
| Total Drug Medicare AllowedAmount | 27798.96 |
| Total Drug Medicare PaymentAmount | 21695.05 |
| Total Drug Medicare Standardized Payment Amount | 21695.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 245 |
| Number Of Medical Services | 7549 |
| Number Of Medicare Beneficiaries With Medical Services | 3899 |
| Total Medical Submitted Charge Amount | 4259813.81 |
| Total Medical Medicare Allowed Amount | 1245738.6 |
| Total Medical Medicare Payment Amount | 973101.33 |
| Total Medical Medicare Standardized Payment Amount | 954519.39 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 349 |
| Number Of Beneficiaries Age 65 to 74 | 2183 |
| Number Of Beneficiaries Age 75 to 84 | 1095 |
| Number Of Beneficiaries Age Greater 84 | 272 |
| Number Of Female Beneficiaries | 2631 |
| Number Of Male Beneficiaries | 1268 |
| Number Of Non Hispanic White Beneficiaries | 2948 |
| Number Of Black or African American Beneficiaries | 282 |
| Number Of AsianPacific Islander Beneficiaries | 319 |
| Number Of Hispanic Beneficiaries | 237 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3466 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 433 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0407 |