| National Provider Identifier [NPI]: | 1194775767 |
| Last Name Of The Provider | MEHSERLE |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1525 TAMIAMI TRL S |
| Street Address 2 Of The Provider | #602 |
| City Of The Provider | VENICE |
| Zip Code Of The Provider | 342853568 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Orthopedic Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 149 |
| Number Of Services | 6808 |
| Number Of Medicare Beneficiaries | 1371 |
| Total Submitted Charge Amount | 1330051.32 |
| Total Medicare Allowed Amount | 641997.97 |
| Total Medicare Payment Amount | 478281.66 |
| Total Medicare Standardized Payment Amount | 472997.09 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 1051 |
| Number Of Medicare Beneficiaries With Drug Services | 597 |
| Total Drug Submitted ChargeAmount | 73055.28 |
| Total Drug Medicare AllowedAmount | 36849.9 |
| Total Drug Medicare PaymentAmount | 28564.12 |
| Total Drug Medicare Standardized Payment Amount | 28564.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 144 |
| Number Of Medical Services | 5757 |
| Number Of Medicare Beneficiaries With Medical Services | 1371 |
| Total Medical Submitted Charge Amount | 1256996.04 |
| Total Medical Medicare Allowed Amount | 605148.07 |
| Total Medical Medicare Payment Amount | 449717.54 |
| Total Medical Medicare Standardized Payment Amount | 444432.97 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 30 |
| Number Of Beneficiaries Age 65 to 74 | 465 |
| Number Of Beneficiaries Age 75 to 84 | 592 |
| Number Of Beneficiaries Age Greater 84 | 284 |
| Number Of Female Beneficiaries | 868 |
| Number Of Male Beneficiaries | 503 |
| Number Of Non Hispanic White Beneficiaries | 1340 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 14 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1332 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 39 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 21 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 70 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0617 |