| National Provider Identifier [NPI]: | 1841280005 |
| Last Name Of The Provider | TAW |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1717 TREASURE HILLS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | HARLINGEN |
| Zip Code Of The Provider | 785508912 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 245 |
| Number Of Services | 17959 |
| Number Of Medicare Beneficiaries | 8579 |
| Total Submitted Charge Amount | 2194434.15 |
| Total Medicare Allowed Amount | 519531.93 |
| Total Medicare Payment Amount | 398253.81 |
| Total Medicare Standardized Payment Amount | 414955.13 |
| 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 | 245 |
| Number Of Medical Services | 17959 |
| Number Of Medicare Beneficiaries With Medical Services | 8579 |
| Total Medical Submitted Charge Amount | 2194434.15 |
| Total Medical Medicare Allowed Amount | 519531.93 |
| Total Medical Medicare Payment Amount | 398253.81 |
| Total Medical Medicare Standardized Payment Amount | 414955.13 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1474 |
| Number Of Beneficiaries Age 65 to 74 | 3046 |
| Number Of Beneficiaries Age 75 to 84 | 2735 |
| Number Of Beneficiaries Age Greater 84 | 1324 |
| Number Of Female Beneficiaries | 5249 |
| Number Of Male Beneficiaries | 3330 |
| Number Of Non Hispanic White Beneficiaries | 2791 |
| Number Of Black or African American Beneficiaries | 36 |
| Number Of AsianPacific Islander Beneficiaries | 50 |
| Number Of Hispanic Beneficiaries | 5678 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3902 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 4677 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 54 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.9976 |