| National Provider Identifier [NPI]: | 1790753325 |
| Last Name Of The Provider | REID |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8503 ARLINGTON BLVD |
| Street Address 2 Of The Provider | STE 400 |
| City Of The Provider | FAIRFAX |
| Zip Code Of The Provider | 220314629 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 185 |
| Number Of Services | 118788 |
| Number Of Medicare Beneficiaries | 2112 |
| Total Submitted Charge Amount | 6839747 |
| Total Medicare Allowed Amount | 1992802.02 |
| Total Medicare Payment Amount | 1564803.25 |
| Total Medicare Standardized Payment Amount | 1524892.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 86 |
| Number Of Drug Services | 104927 |
| Number Of Medicare Beneficiaries With Drug Services | 331 |
| Total Drug Submitted ChargeAmount | 5221282 |
| Total Drug Medicare AllowedAmount | 1471665.71 |
| Total Drug Medicare PaymentAmount | 1143716.62 |
| Total Drug Medicare Standardized Payment Amount | 1143716.62 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 99 |
| Number Of Medical Services | 13861 |
| Number Of Medicare Beneficiaries With Medical Services | 2111 |
| Total Medical Submitted Charge Amount | 1618465 |
| Total Medical Medicare Allowed Amount | 521136.31 |
| Total Medical Medicare Payment Amount | 421086.63 |
| Total Medical Medicare Standardized Payment Amount | 381175.43 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 140 |
| Number Of Beneficiaries Age 65 to 74 | 974 |
| Number Of Beneficiaries Age 75 to 84 | 699 |
| Number Of Beneficiaries Age Greater 84 | 299 |
| Number Of Female Beneficiaries | 1112 |
| Number Of Male Beneficiaries | 1000 |
| Number Of Non Hispanic White Beneficiaries | 1670 |
| Number Of Black or African American Beneficiaries | 165 |
| Number Of AsianPacific Islander Beneficiaries | 113 |
| Number Of Hispanic Beneficiaries | 100 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1922 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 190 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 43 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.8554 |