| National Provider Identifier [NPI]: | 1982694428 |
| Last Name Of The Provider | RUSSELL |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3633 CENTRAL AVENUE |
| Street Address 2 Of The Provider | SUITE D |
| City Of The Provider | HOT SPRINGS |
| Zip Code Of The Provider | 719136475 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 185 |
| Number Of Services | 7450 |
| Number Of Medicare Beneficiaries | 4638 |
| Total Submitted Charge Amount | 811931 |
| Total Medicare Allowed Amount | 209935.82 |
| Total Medicare Payment Amount | 161426.19 |
| Total Medicare Standardized Payment Amount | 174114.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 185 |
| Number Of Medical Services | 7450 |
| Number Of Medicare Beneficiaries With Medical Services | 4638 |
| Total Medical Submitted Charge Amount | 811931 |
| Total Medical Medicare Allowed Amount | 209935.82 |
| Total Medical Medicare Payment Amount | 161426.19 |
| Total Medical Medicare Standardized Payment Amount | 174114.04 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 787 |
| Number Of Beneficiaries Age 65 to 74 | 1652 |
| Number Of Beneficiaries Age 75 to 84 | 1480 |
| Number Of Beneficiaries Age Greater 84 | 719 |
| Number Of Female Beneficiaries | 2806 |
| Number Of Male Beneficiaries | 1832 |
| Number Of Non Hispanic White Beneficiaries | 4257 |
| Number Of Black or African American Beneficiaries | 281 |
| Number Of AsianPacific Islander Beneficiaries | 13 |
| Number Of Hispanic Beneficiaries | 47 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3532 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1106 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5342 |