| National Provider Identifier [NPI]: | 1598706046 |
| Last Name Of The Provider | SMITH |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 208 MCFARLAND CIR N |
| Street Address 2 Of The Provider | |
| City Of The Provider | TUSCALOOSA |
| Zip Code Of The Provider | 354061800 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 191 |
| Number Of Services | 9061 |
| Number Of Medicare Beneficiaries | 3884 |
| Total Submitted Charge Amount | 884997.17 |
| Total Medicare Allowed Amount | 289060.92 |
| Total Medicare Payment Amount | 213124.58 |
| Total Medicare Standardized Payment Amount | 233291.98 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2628 |
| Number Of Medicare Beneficiaries With Drug Services | 90 |
| Total Drug Submitted ChargeAmount | 3399.92 |
| Total Drug Medicare AllowedAmount | 2588.24 |
| Total Drug Medicare PaymentAmount | 2013.26 |
| Total Drug Medicare Standardized Payment Amount | 2013.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 6433 |
| Number Of Medicare Beneficiaries With Medical Services | 3884 |
| Total Medical Submitted Charge Amount | 881597.25 |
| Total Medical Medicare Allowed Amount | 286472.68 |
| Total Medical Medicare Payment Amount | 211111.32 |
| Total Medical Medicare Standardized Payment Amount | 231278.72 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1098 |
| Number Of Beneficiaries Age 65 to 74 | 1311 |
| Number Of Beneficiaries Age 75 to 84 | 998 |
| Number Of Beneficiaries Age Greater 84 | 477 |
| Number Of Female Beneficiaries | 2363 |
| Number Of Male Beneficiaries | 1521 |
| Number Of Non Hispanic White Beneficiaries | 2643 |
| Number Of Black or African American Beneficiaries | 1210 |
| 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 | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2649 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1235 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.7028 |