| National Provider Identifier [NPI]: | 1649342585 |
| Last Name Of The Provider | CARROLL |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 499 GLOSTER CREEK VLG STE A2 |
| Street Address 2 Of The Provider | CARDIOLOGY ASSOCIATES OF NORTH MS |
| City Of The Provider | TUPELO |
| Zip Code Of The Provider | 388014749 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 109 |
| Number Of Services | 29401 |
| Number Of Medicare Beneficiaries | 5122 |
| Total Submitted Charge Amount | 5531042 |
| Total Medicare Allowed Amount | 1467185.94 |
| Total Medicare Payment Amount | 1108574.66 |
| Total Medicare Standardized Payment Amount | 1186705.23 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 17048 |
| Number Of Medicare Beneficiaries With Drug Services | 643 |
| Total Drug Submitted ChargeAmount | 205441 |
| Total Drug Medicare AllowedAmount | 109310.46 |
| Total Drug Medicare PaymentAmount | 84485.55 |
| Total Drug Medicare Standardized Payment Amount | 84485.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 102 |
| Number Of Medical Services | 12353 |
| Number Of Medicare Beneficiaries With Medical Services | 5122 |
| Total Medical Submitted Charge Amount | 5325601 |
| Total Medical Medicare Allowed Amount | 1357875.48 |
| Total Medical Medicare Payment Amount | 1024089.11 |
| Total Medical Medicare Standardized Payment Amount | 1102219.68 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 908 |
| Number Of Beneficiaries Age 65 to 74 | 1915 |
| Number Of Beneficiaries Age 75 to 84 | 1684 |
| Number Of Beneficiaries Age Greater 84 | 615 |
| Number Of Female Beneficiaries | 2522 |
| Number Of Male Beneficiaries | 2600 |
| Number Of Non Hispanic White Beneficiaries | 4309 |
| Number Of Black or African American Beneficiaries | 781 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 13 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3704 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1418 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.381 |