| National Provider Identifier [NPI]: | 1659472330 |
| Last Name Of The Provider | WILLIAMS |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 920 N CENTER ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | BONHAM |
| Zip Code Of The Provider | 754183751 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 37 |
| Number Of Services | 1398 |
| Number Of Medicare Beneficiaries | 155 |
| Total Submitted Charge Amount | 48080.1 |
| Total Medicare Allowed Amount | 46103.38 |
| Total Medicare Payment Amount | 36084 |
| Total Medicare Standardized Payment Amount | 37564.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 93 |
| Number Of Medicare Beneficiaries With Drug Services | 34 |
| Total Drug Submitted ChargeAmount | 1215.75 |
| Total Drug Medicare AllowedAmount | 1174.12 |
| Total Drug Medicare PaymentAmount | 980.8 |
| Total Drug Medicare Standardized Payment Amount | 980.8 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 34 |
| Number Of Medical Services | 1305 |
| Number Of Medicare Beneficiaries With Medical Services | 155 |
| Total Medical Submitted Charge Amount | 46864.35 |
| Total Medical Medicare Allowed Amount | 44929.26 |
| Total Medical Medicare Payment Amount | 35103.2 |
| Total Medical Medicare Standardized Payment Amount | 36583.69 |
| Average Age Of Beneficiaries | 56 |
| Number Of Beneficiaries Age Less65 | 115 |
| Number Of Beneficiaries Age 65 to 74 | 26 |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 79 |
| Number Of Male Beneficiaries | 76 |
| Number Of Non Hispanic White Beneficiaries | 118 |
| Number Of Black or African American Beneficiaries | 12 |
| Number Of AsianPacific Islander Beneficiaries | 0 |
| Number Of Hispanic Beneficiaries | 25 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 0 |
| Number Of Beneficiaries With Medicare Only Entitlement | 0 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 155 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | |
| Percent Of With Diabetes | 12 |
| Percent Of With Hyperlipidemia | 26 |
| Percent Of With Hypertension | 16 |
| Percent Of With Ischemic Heart Disease | 8 |
| Percent Of With Osteoporosis | 45 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.6186 |