| National Provider Identifier [NPI]: | 1396785929 |
| Last Name Of The Provider | CALDWELL |
| First Name Of The Provider | ELIZABETH |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| 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 | 205 |
| Number Of Services | 20464 |
| Number Of Medicare Beneficiaries | 3706 |
| Total Submitted Charge Amount | 994167.75 |
| Total Medicare Allowed Amount | 397815.75 |
| Total Medicare Payment Amount | 307809.73 |
| Total Medicare Standardized Payment Amount | 336445.99 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 14364 |
| Number Of Medicare Beneficiaries With Drug Services | 197 |
| Total Drug Submitted ChargeAmount | 4947.72 |
| Total Drug Medicare AllowedAmount | 3804.13 |
| Total Drug Medicare PaymentAmount | 2972.52 |
| Total Drug Medicare Standardized Payment Amount | 2972.52 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 200 |
| Number Of Medical Services | 6100 |
| Number Of Medicare Beneficiaries With Medical Services | 3705 |
| Total Medical Submitted Charge Amount | 989220.03 |
| Total Medical Medicare Allowed Amount | 394011.62 |
| Total Medical Medicare Payment Amount | 304837.21 |
| Total Medical Medicare Standardized Payment Amount | 333473.47 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 919 |
| Number Of Beneficiaries Age 65 to 74 | 1355 |
| Number Of Beneficiaries Age 75 to 84 | 1001 |
| Number Of Beneficiaries Age Greater 84 | 431 |
| Number Of Female Beneficiaries | 2354 |
| Number Of Male Beneficiaries | 1352 |
| Number Of Non Hispanic White Beneficiaries | 2620 |
| Number Of Black or African American Beneficiaries | 1054 |
| 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 | 18 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2687 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1019 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5744 |