| National Provider Identifier [NPI]: | 1275714958 |
| Last Name Of The Provider | THOMAS |
| First Name Of The Provider | LANI |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 620 SKYLINE DRIVE |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 383013923 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 329 |
| Number Of Services | 20066 |
| Number Of Medicare Beneficiaries | 3675 |
| Total Submitted Charge Amount | 3148692.4 |
| Total Medicare Allowed Amount | 865317.07 |
| Total Medicare Payment Amount | 665519.21 |
| Total Medicare Standardized Payment Amount | 734678.97 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 13448 |
| Number Of Medicare Beneficiaries With Drug Services | 145 |
| Total Drug Submitted ChargeAmount | 40124.4 |
| Total Drug Medicare AllowedAmount | 6427.53 |
| Total Drug Medicare PaymentAmount | 5020.36 |
| Total Drug Medicare Standardized Payment Amount | 5020.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 327 |
| Number Of Medical Services | 6618 |
| Number Of Medicare Beneficiaries With Medical Services | 3675 |
| Total Medical Submitted Charge Amount | 3108568 |
| Total Medical Medicare Allowed Amount | 858889.54 |
| Total Medical Medicare Payment Amount | 660498.85 |
| Total Medical Medicare Standardized Payment Amount | 729658.61 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 858 |
| Number Of Beneficiaries Age 65 to 74 | 1328 |
| Number Of Beneficiaries Age 75 to 84 | 1039 |
| Number Of Beneficiaries Age Greater 84 | 450 |
| Number Of Female Beneficiaries | 2067 |
| Number Of Male Beneficiaries | 1608 |
| Number Of Non Hispanic White Beneficiaries | 2906 |
| Number Of Black or African American Beneficiaries | 732 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2326 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1349 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 14 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.3102 |