| National Provider Identifier [NPI]: | 1811910458 |
| Last Name Of The Provider | WEST |
| First Name Of The Provider | JOHN |
| 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 | 1221 S BROADWAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | LEXINGTON |
| Zip Code Of The Provider | 405042701 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 206 |
| Number Of Services | 54025 |
| Number Of Medicare Beneficiaries | 5031 |
| Total Submitted Charge Amount | 3049576 |
| Total Medicare Allowed Amount | 770937.34 |
| Total Medicare Payment Amount | 592546.57 |
| Total Medicare Standardized Payment Amount | 684055.76 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 45156 |
| Number Of Medicare Beneficiaries With Drug Services | 586 |
| Total Drug Submitted ChargeAmount | 228367 |
| Total Drug Medicare AllowedAmount | 13882.99 |
| Total Drug Medicare PaymentAmount | 10324.31 |
| Total Drug Medicare Standardized Payment Amount | 10324.31 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 199 |
| Number Of Medical Services | 8869 |
| Number Of Medicare Beneficiaries With Medical Services | 5030 |
| Total Medical Submitted Charge Amount | 2821209 |
| Total Medical Medicare Allowed Amount | 757054.35 |
| Total Medical Medicare Payment Amount | 582222.26 |
| Total Medical Medicare Standardized Payment Amount | 673731.45 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 793 |
| Number Of Beneficiaries Age 65 to 74 | 2180 |
| Number Of Beneficiaries Age 75 to 84 | 1478 |
| Number Of Beneficiaries Age Greater 84 | 580 |
| Number Of Female Beneficiaries | 3414 |
| Number Of Male Beneficiaries | 1617 |
| Number Of Non Hispanic White Beneficiaries | 4640 |
| Number Of Black or African American Beneficiaries | 291 |
| Number Of AsianPacific Islander Beneficiaries | 32 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4201 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 830 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.1269 |