| National Provider Identifier [NPI]: | 1598727042 |
| Last Name Of The Provider | FORSYTHE |
| First Name Of The Provider | LOY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 651 DUNLOP LN |
| Street Address 2 Of The Provider | SUITE 530 |
| City Of The Provider | CLARKSVILLE |
| Zip Code Of The Provider | 370405015 |
| 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 | 231 |
| Number Of Services | 10815 |
| Number Of Medicare Beneficiaries | 3941 |
| Total Submitted Charge Amount | 1234150 |
| Total Medicare Allowed Amount | 263147.54 |
| Total Medicare Payment Amount | 198116.87 |
| Total Medicare Standardized Payment Amount | 213714.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2685 |
| Number Of Medicare Beneficiaries With Drug Services | 40 |
| Total Drug Submitted ChargeAmount | 7650 |
| Total Drug Medicare AllowedAmount | 985.35 |
| Total Drug Medicare PaymentAmount | 729.37 |
| Total Drug Medicare Standardized Payment Amount | 729.37 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 229 |
| Number Of Medical Services | 8130 |
| Number Of Medicare Beneficiaries With Medical Services | 3941 |
| Total Medical Submitted Charge Amount | 1226500 |
| Total Medical Medicare Allowed Amount | 262162.19 |
| Total Medical Medicare Payment Amount | 197387.5 |
| Total Medical Medicare Standardized Payment Amount | 212985.1 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 883 |
| Number Of Beneficiaries Age 65 to 74 | 1502 |
| Number Of Beneficiaries Age 75 to 84 | 1099 |
| Number Of Beneficiaries Age Greater 84 | 457 |
| Number Of Female Beneficiaries | 2561 |
| Number Of Male Beneficiaries | 1380 |
| Number Of Non Hispanic White Beneficiaries | 3154 |
| Number Of Black or African American Beneficiaries | 591 |
| Number Of AsianPacific Islander Beneficiaries | 59 |
| Number Of Hispanic Beneficiaries | 83 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2987 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 954 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5215 |