| National Provider Identifier [NPI]: | 1972784999 |
| Last Name Of The Provider | BOONE |
| First Name Of The Provider | WILLIAM |
| 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 | 415 S 28TH AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | HATTIESBURG |
| Zip Code Of The Provider | 394017246 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 230 |
| Number Of Services | 53177 |
| Number Of Medicare Beneficiaries | 5314 |
| Total Submitted Charge Amount | 2961792 |
| Total Medicare Allowed Amount | 605711.63 |
| Total Medicare Payment Amount | 458199.66 |
| Total Medicare Standardized Payment Amount | 505976.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 45244 |
| Number Of Medicare Beneficiaries With Drug Services | 595 |
| Total Drug Submitted ChargeAmount | 55808 |
| Total Drug Medicare AllowedAmount | 13056.71 |
| Total Drug Medicare PaymentAmount | 10135.71 |
| Total Drug Medicare Standardized Payment Amount | 10135.71 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 227 |
| Number Of Medical Services | 7933 |
| Number Of Medicare Beneficiaries With Medical Services | 5313 |
| Total Medical Submitted Charge Amount | 2905984 |
| Total Medical Medicare Allowed Amount | 592654.92 |
| Total Medical Medicare Payment Amount | 448063.95 |
| Total Medical Medicare Standardized Payment Amount | 495840.92 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1214 |
| Number Of Beneficiaries Age 65 to 74 | 2076 |
| Number Of Beneficiaries Age 75 to 84 | 1427 |
| Number Of Beneficiaries Age Greater 84 | 597 |
| Number Of Female Beneficiaries | 3103 |
| Number Of Male Beneficiaries | 2211 |
| Number Of Non Hispanic White Beneficiaries | 4135 |
| Number Of Black or African American Beneficiaries | 1120 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3431 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1883 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.6189 |