| National Provider Identifier [NPI]: | 1417998717 |
| Last Name Of The Provider | HAYDEN |
| First Name Of The Provider | SCOTT |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2003 BLUEGRASS CIR |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHEYENNE |
| Zip Code Of The Provider | 820097329 |
| State Code Of The Provider | WY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 222 |
| Number Of Services | 11541 |
| Number Of Medicare Beneficiaries | 4141 |
| Total Submitted Charge Amount | 477705.33 |
| Total Medicare Allowed Amount | 354311.42 |
| Total Medicare Payment Amount | 280772.76 |
| Total Medicare Standardized Payment Amount | 282486.1 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 4563 |
| Number Of Medicare Beneficiaries With Drug Services | 73 |
| Total Drug Submitted ChargeAmount | 1494.51 |
| Total Drug Medicare AllowedAmount | 1240.88 |
| Total Drug Medicare PaymentAmount | 972.79 |
| Total Drug Medicare Standardized Payment Amount | 972.79 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 218 |
| Number Of Medical Services | 6978 |
| Number Of Medicare Beneficiaries With Medical Services | 4141 |
| Total Medical Submitted Charge Amount | 476210.82 |
| Total Medical Medicare Allowed Amount | 353070.54 |
| Total Medical Medicare Payment Amount | 279799.97 |
| Total Medical Medicare Standardized Payment Amount | 281513.31 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 599 |
| Number Of Beneficiaries Age 65 to 74 | 1662 |
| Number Of Beneficiaries Age 75 to 84 | 1320 |
| Number Of Beneficiaries Age Greater 84 | 560 |
| Number Of Female Beneficiaries | 2771 |
| Number Of Male Beneficiaries | 1370 |
| Number Of Non Hispanic White Beneficiaries | 3652 |
| Number Of Black or African American Beneficiaries | 50 |
| Number Of AsianPacific Islander Beneficiaries | 42 |
| Number Of Hispanic Beneficiaries | 336 |
| Number Of American Indian Alaska Native Beneficiaries | 20 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3315 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 826 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 43 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1856 |