| National Provider Identifier [NPI]: | 1669438602 |
| Last Name Of The Provider | GOULD |
| First Name Of The Provider | BARRY |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | DPM |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1788 MCFARLAND BLVD N |
| Street Address 2 Of The Provider | SUITE B |
| City Of The Provider | TUSCALOOSA |
| Zip Code Of The Provider | 354062190 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Podiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 63 |
| Number Of Services | 12515 |
| Number Of Medicare Beneficiaries | 2473 |
| Total Submitted Charge Amount | 758847.61 |
| Total Medicare Allowed Amount | 636102.74 |
| Total Medicare Payment Amount | 471423.28 |
| Total Medicare Standardized Payment Amount | 499011.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1098 |
| Number Of Medicare Beneficiaries With Drug Services | 99 |
| Total Drug Submitted ChargeAmount | 5073.3 |
| Total Drug Medicare AllowedAmount | 4971.93 |
| Total Drug Medicare PaymentAmount | 3828.59 |
| Total Drug Medicare Standardized Payment Amount | 3828.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 60 |
| Number Of Medical Services | 11417 |
| Number Of Medicare Beneficiaries With Medical Services | 2473 |
| Total Medical Submitted Charge Amount | 753774.31 |
| Total Medical Medicare Allowed Amount | 631130.81 |
| Total Medical Medicare Payment Amount | 467594.69 |
| Total Medical Medicare Standardized Payment Amount | 495182.58 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 335 |
| Number Of Beneficiaries Age 65 to 74 | 619 |
| Number Of Beneficiaries Age 75 to 84 | 771 |
| Number Of Beneficiaries Age Greater 84 | 748 |
| Number Of Female Beneficiaries | 1650 |
| Number Of Male Beneficiaries | 823 |
| Number Of Non Hispanic White Beneficiaries | 1714 |
| Number Of Black or African American Beneficiaries | 742 |
| 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 | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1439 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1034 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 44 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 53 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 67 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 14 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8749 |