| National Provider Identifier [NPI]: | 1073574315 |
| Last Name Of The Provider | BALCHUNAS |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5151 N 9TH AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | PENSACOLA |
| Zip Code Of The Provider | 325048721 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 200 |
| Number Of Services | 6564 |
| Number Of Medicare Beneficiaries | 4253 |
| Total Submitted Charge Amount | 985436.79 |
| Total Medicare Allowed Amount | 238837.32 |
| Total Medicare Payment Amount | 179676.88 |
| Total Medicare Standardized Payment Amount | 180698.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 200 |
| Number Of Medical Services | 6564 |
| Number Of Medicare Beneficiaries With Medical Services | 4253 |
| Total Medical Submitted Charge Amount | 985436.79 |
| Total Medical Medicare Allowed Amount | 238837.32 |
| Total Medical Medicare Payment Amount | 179676.88 |
| Total Medical Medicare Standardized Payment Amount | 180698.31 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 859 |
| Number Of Beneficiaries Age 65 to 74 | 1540 |
| Number Of Beneficiaries Age 75 to 84 | 1218 |
| Number Of Beneficiaries Age Greater 84 | 636 |
| Number Of Female Beneficiaries | 2465 |
| Number Of Male Beneficiaries | 1788 |
| Number Of Non Hispanic White Beneficiaries | 3533 |
| Number Of Black or African American Beneficiaries | 570 |
| Number Of AsianPacific Islander Beneficiaries | 38 |
| Number Of Hispanic Beneficiaries | 65 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3116 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1137 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6278 |