| National Provider Identifier [NPI]: | 1538144050 |
| Last Name Of The Provider | DUCKETT |
| First Name Of The Provider | EVA |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 122 DEFENSE HWY |
| Street Address 2 Of The Provider | CHESAPEAKE MEDICAL IMAGING |
| City Of The Provider | ANNAPOLIS |
| Zip Code Of The Provider | 214017069 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Unknown Physician Specialty Code |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 114 |
| Number Of Services | 18585 |
| Number Of Medicare Beneficiaries | 1874 |
| Total Submitted Charge Amount | 876714 |
| Total Medicare Allowed Amount | 362669.47 |
| Total Medicare Payment Amount | 281800.19 |
| Total Medicare Standardized Payment Amount | 260633.13 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 15290 |
| Number Of Medicare Beneficiaries With Drug Services | 162 |
| Total Drug Submitted ChargeAmount | 9405 |
| Total Drug Medicare AllowedAmount | 3412.83 |
| Total Drug Medicare PaymentAmount | 2664.1 |
| Total Drug Medicare Standardized Payment Amount | 2664.1 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 112 |
| Number Of Medical Services | 3295 |
| Number Of Medicare Beneficiaries With Medical Services | 1874 |
| Total Medical Submitted Charge Amount | 867309 |
| Total Medical Medicare Allowed Amount | 359256.64 |
| Total Medical Medicare Payment Amount | 279136.09 |
| Total Medical Medicare Standardized Payment Amount | 257969.03 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 163 |
| Number Of Beneficiaries Age 65 to 74 | 950 |
| Number Of Beneficiaries Age 75 to 84 | 556 |
| Number Of Beneficiaries Age Greater 84 | 205 |
| Number Of Female Beneficiaries | 1200 |
| Number Of Male Beneficiaries | 674 |
| Number Of Non Hispanic White Beneficiaries | 1550 |
| Number Of Black or African American Beneficiaries | 253 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 21 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1727 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 147 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0778 |