| National Provider Identifier [NPI]: | 1730171414 |
| Last Name Of The Provider | MASON |
| First Name Of The Provider | LARRY |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8401 HIGHWAY 111 |
| Street Address 2 Of The Provider | |
| City Of The Provider | BYRDSTOWN |
| Zip Code Of The Provider | 385496031 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 218 |
| Number Of Services | 32995.5 |
| Number Of Medicare Beneficiaries | 1367 |
| Total Submitted Charge Amount | 1928563.5 |
| Total Medicare Allowed Amount | 940828.21 |
| Total Medicare Payment Amount | 707145.21 |
| Total Medicare Standardized Payment Amount | 757593.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 29 |
| Number Of Drug Services | 4285.5 |
| Number Of Medicare Beneficiaries With Drug Services | 662 |
| Total Drug Submitted ChargeAmount | 52480.5 |
| Total Drug Medicare AllowedAmount | 28399.98 |
| Total Drug Medicare PaymentAmount | 23859.83 |
| Total Drug Medicare Standardized Payment Amount | 23859.83 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 28710 |
| Number Of Medicare Beneficiaries With Medical Services | 1367 |
| Total Medical Submitted Charge Amount | 1876083 |
| Total Medical Medicare Allowed Amount | 912428.23 |
| Total Medical Medicare Payment Amount | 683285.38 |
| Total Medical Medicare Standardized Payment Amount | 733733.66 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 280 |
| Number Of Beneficiaries Age 65 to 74 | 540 |
| Number Of Beneficiaries Age 75 to 84 | 389 |
| Number Of Beneficiaries Age Greater 84 | 158 |
| Number Of Female Beneficiaries | 755 |
| Number Of Male Beneficiaries | 612 |
| Number Of Non Hispanic White Beneficiaries | 1352 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 805 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 562 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 43 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1556 |