| National Provider Identifier [NPI]: | 1164427993 |
| Last Name Of The Provider | BOOTH |
| First Name Of The Provider | BRUCE |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1051 LOFTIS BLVD |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | NEWPORT NEWS |
| Zip Code Of The Provider | 236063069 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 180 |
| Number Of Services | 188340 |
| Number Of Medicare Beneficiaries | 1142 |
| Total Submitted Charge Amount | 11149736.91 |
| Total Medicare Allowed Amount | 3235108.14 |
| Total Medicare Payment Amount | 2512524.36 |
| Total Medicare Standardized Payment Amount | 2498071.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 88 |
| Number Of Drug Services | 169343 |
| Number Of Medicare Beneficiaries With Drug Services | 484 |
| Total Drug Submitted ChargeAmount | 8840472.91 |
| Total Drug Medicare AllowedAmount | 2586968.08 |
| Total Drug Medicare PaymentAmount | 1994168.71 |
| Total Drug Medicare Standardized Payment Amount | 1994168.71 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 92 |
| Number Of Medical Services | 18997 |
| Number Of Medicare Beneficiaries With Medical Services | 1142 |
| Total Medical Submitted Charge Amount | 2309264 |
| Total Medical Medicare Allowed Amount | 648140.06 |
| Total Medical Medicare Payment Amount | 518355.65 |
| Total Medical Medicare Standardized Payment Amount | 503902.97 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 89 |
| Number Of Beneficiaries Age 65 to 74 | 496 |
| Number Of Beneficiaries Age 75 to 84 | 430 |
| Number Of Beneficiaries Age Greater 84 | 127 |
| Number Of Female Beneficiaries | 743 |
| Number Of Male Beneficiaries | 399 |
| Number Of Non Hispanic White Beneficiaries | 908 |
| Number Of Black or African American Beneficiaries | 193 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 12 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1049 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 93 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 58 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.665 |