| National Provider Identifier [NPI]: | 1649276072 |
| Last Name Of The Provider | WHITE |
| First Name Of The Provider | KENNETH |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4005 24TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | LUBBOCK |
| Zip Code Of The Provider | 794101835 |
| 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 | 259 |
| Number Of Services | 9189 |
| Number Of Medicare Beneficiaries | 4248 |
| Total Submitted Charge Amount | 1361769 |
| Total Medicare Allowed Amount | 243927.35 |
| Total Medicare Payment Amount | 189543.02 |
| Total Medicare Standardized Payment Amount | 198782.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1953 |
| Number Of Medicare Beneficiaries With Drug Services | 28 |
| Total Drug Submitted ChargeAmount | 2175 |
| Total Drug Medicare AllowedAmount | 608.83 |
| Total Drug Medicare PaymentAmount | 477.33 |
| Total Drug Medicare Standardized Payment Amount | 477.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 256 |
| Number Of Medical Services | 7236 |
| Number Of Medicare Beneficiaries With Medical Services | 4248 |
| Total Medical Submitted Charge Amount | 1359594 |
| Total Medical Medicare Allowed Amount | 243318.52 |
| Total Medical Medicare Payment Amount | 189065.69 |
| Total Medical Medicare Standardized Payment Amount | 198305.63 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 565 |
| Number Of Beneficiaries Age 65 to 74 | 1559 |
| Number Of Beneficiaries Age 75 to 84 | 1420 |
| Number Of Beneficiaries Age Greater 84 | 704 |
| Number Of Female Beneficiaries | 2664 |
| Number Of Male Beneficiaries | 1584 |
| Number Of Non Hispanic White Beneficiaries | 3144 |
| Number Of Black or African American Beneficiaries | 179 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 879 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3275 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 973 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7766 |