| National Provider Identifier [NPI]: | 1902857980 |
| Last Name Of The Provider | HALL |
| First Name Of The Provider | RONALD |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1098 S MAYO TRL |
| Street Address 2 Of The Provider | SUITE 211 |
| City Of The Provider | PIKEVILLE |
| Zip Code Of The Provider | 415011546 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 87 |
| Number Of Services | 13173 |
| Number Of Medicare Beneficiaries | 2267 |
| Total Submitted Charge Amount | 1075798.14 |
| Total Medicare Allowed Amount | 641476.78 |
| Total Medicare Payment Amount | 451353.13 |
| Total Medicare Standardized Payment Amount | 498582.73 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 477 |
| Number Of Medicare Beneficiaries With Drug Services | 127 |
| Total Drug Submitted ChargeAmount | 868.14 |
| Total Drug Medicare AllowedAmount | 850.7 |
| Total Drug Medicare PaymentAmount | 579.86 |
| Total Drug Medicare Standardized Payment Amount | 579.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 86 |
| Number Of Medical Services | 12696 |
| Number Of Medicare Beneficiaries With Medical Services | 2267 |
| Total Medical Submitted Charge Amount | 1074930 |
| Total Medical Medicare Allowed Amount | 640626.08 |
| Total Medical Medicare Payment Amount | 450773.27 |
| Total Medical Medicare Standardized Payment Amount | 498002.87 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 490 |
| Number Of Beneficiaries Age 65 to 74 | 981 |
| Number Of Beneficiaries Age 75 to 84 | 617 |
| Number Of Beneficiaries Age Greater 84 | 179 |
| Number Of Female Beneficiaries | 1002 |
| Number Of Male Beneficiaries | 1265 |
| Number Of Non Hispanic White Beneficiaries | 2256 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 0 |
| 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 | 1844 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 423 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.0421 |