| National Provider Identifier [NPI]: | 1255316873 |
| Last Name Of The Provider | CLARKE |
| First Name Of The Provider | DELPHIA |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 338 GARREN CREEK RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | FAIRVIEW |
| Zip Code Of The Provider | 287307606 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 117 |
| Number Of Services | 6322 |
| Number Of Medicare Beneficiaries | 4485 |
| Total Submitted Charge Amount | 751192 |
| Total Medicare Allowed Amount | 187177.37 |
| Total Medicare Payment Amount | 144373.94 |
| Total Medicare Standardized Payment Amount | 150113.35 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 117 |
| Number Of Medical Services | 6322 |
| Number Of Medicare Beneficiaries With Medical Services | 4485 |
| Total Medical Submitted Charge Amount | 751192 |
| Total Medical Medicare Allowed Amount | 187177.37 |
| Total Medical Medicare Payment Amount | 144373.94 |
| Total Medical Medicare Standardized Payment Amount | 150113.35 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 895 |
| Number Of Beneficiaries Age 65 to 74 | 1232 |
| Number Of Beneficiaries Age 75 to 84 | 1323 |
| Number Of Beneficiaries Age Greater 84 | 1035 |
| Number Of Female Beneficiaries | 2576 |
| Number Of Male Beneficiaries | 1909 |
| Number Of Non Hispanic White Beneficiaries | 3188 |
| Number Of Black or African American Beneficiaries | 580 |
| Number Of AsianPacific Islander Beneficiaries | 37 |
| Number Of Hispanic Beneficiaries | 576 |
| Number Of American Indian Alaska Native Beneficiaries | 76 |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2519 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1966 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 32 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.1866 |