| National Provider Identifier [NPI]: | 1548469372 |
| Last Name Of The Provider | PAXTON |
| First Name Of The Provider | BEN |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 AINSWORTH # 115 |
| Street Address 2 Of The Provider | |
| City Of The Provider | PRESCOTT |
| Zip Code Of The Provider | 86305 |
| 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 | 269 |
| Number Of Services | 15906 |
| Number Of Medicare Beneficiaries | 3652 |
| Total Submitted Charge Amount | 1353625.59 |
| Total Medicare Allowed Amount | 368126.4 |
| Total Medicare Payment Amount | 278028.09 |
| Total Medicare Standardized Payment Amount | 282996.09 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 9586 |
| Number Of Medicare Beneficiaries With Drug Services | 118 |
| Total Drug Submitted ChargeAmount | 8947.21 |
| Total Drug Medicare AllowedAmount | 2133.24 |
| Total Drug Medicare PaymentAmount | 1573.47 |
| Total Drug Medicare Standardized Payment Amount | 1573.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 266 |
| Number Of Medical Services | 6320 |
| Number Of Medicare Beneficiaries With Medical Services | 3652 |
| Total Medical Submitted Charge Amount | 1344678.38 |
| Total Medical Medicare Allowed Amount | 365993.16 |
| Total Medical Medicare Payment Amount | 276454.62 |
| Total Medical Medicare Standardized Payment Amount | 281422.62 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 321 |
| Number Of Beneficiaries Age 65 to 74 | 1566 |
| Number Of Beneficiaries Age 75 to 84 | 1210 |
| Number Of Beneficiaries Age Greater 84 | 555 |
| Number Of Female Beneficiaries | 2187 |
| Number Of Male Beneficiaries | 1465 |
| Number Of Non Hispanic White Beneficiaries | 3420 |
| Number Of Black or African American Beneficiaries | 20 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | 142 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3260 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 392 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.2662 |