| National Provider Identifier [NPI]: | 1336136324 |
| Last Name Of The Provider | WHITEHEAD |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 350 W COLUMBIA ST |
| Street Address 2 Of The Provider | SUITE 420 |
| City Of The Provider | EVANSVILLE |
| Zip Code Of The Provider | 477101782 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 225 |
| Number Of Services | 7206 |
| Number Of Medicare Beneficiaries | 4104 |
| Total Submitted Charge Amount | 813492 |
| Total Medicare Allowed Amount | 221464.86 |
| Total Medicare Payment Amount | 176213.3 |
| Total Medicare Standardized Payment Amount | 186050.35 |
| 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 | 225 |
| Number Of Medical Services | 7206 |
| Number Of Medicare Beneficiaries With Medical Services | 4104 |
| Total Medical Submitted Charge Amount | 813492 |
| Total Medical Medicare Allowed Amount | 221464.86 |
| Total Medical Medicare Payment Amount | 176213.3 |
| Total Medical Medicare Standardized Payment Amount | 186050.35 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 779 |
| Number Of Beneficiaries Age 65 to 74 | 1617 |
| Number Of Beneficiaries Age 75 to 84 | 1146 |
| Number Of Beneficiaries Age Greater 84 | 562 |
| Number Of Female Beneficiaries | 2813 |
| Number Of Male Beneficiaries | 1291 |
| Number Of Non Hispanic White Beneficiaries | 3854 |
| Number Of Black or African American Beneficiaries | 200 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3133 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 971 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4121 |