| National Provider Identifier [NPI]: | 1528065950 |
| Last Name Of The Provider | WILLIAMS |
| First Name Of The Provider | LANE |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1112 E WEISGARBER RD |
| Street Address 2 Of The Provider | STE 201 |
| City Of The Provider | KNOXVILLE |
| Zip Code Of The Provider | 379092647 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 184 |
| Number Of Services | 6664 |
| Number Of Medicare Beneficiaries | 2763 |
| Total Submitted Charge Amount | 613785.74 |
| Total Medicare Allowed Amount | 182510.13 |
| Total Medicare Payment Amount | 143516.26 |
| Total Medicare Standardized Payment Amount | 156876.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 2613 |
| Number Of Medicare Beneficiaries With Drug Services | 36 |
| Total Drug Submitted ChargeAmount | 3602.75 |
| Total Drug Medicare AllowedAmount | 1005.43 |
| Total Drug Medicare PaymentAmount | 788.26 |
| Total Drug Medicare Standardized Payment Amount | 788.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 179 |
| Number Of Medical Services | 4051 |
| Number Of Medicare Beneficiaries With Medical Services | 2763 |
| Total Medical Submitted Charge Amount | 610182.99 |
| Total Medical Medicare Allowed Amount | 181504.7 |
| Total Medical Medicare Payment Amount | 142728 |
| Total Medical Medicare Standardized Payment Amount | 156088.41 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 626 |
| Number Of Beneficiaries Age 65 to 74 | 987 |
| Number Of Beneficiaries Age 75 to 84 | 771 |
| Number Of Beneficiaries Age Greater 84 | 379 |
| Number Of Female Beneficiaries | 1724 |
| Number Of Male Beneficiaries | 1039 |
| Number Of Non Hispanic White Beneficiaries | 2600 |
| Number Of Black or African American Beneficiaries | 119 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1940 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 823 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4872 |