| National Provider Identifier [NPI]: | 1306829155 |
| Last Name Of The Provider | SMITH |
| First Name Of The Provider | MICHAEL |
| 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 | 2006 FRANKLIN ST SE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | HUNTSVILLE |
| Zip Code Of The Provider | 358014551 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 216 |
| Number Of Services | 33118 |
| Number Of Medicare Beneficiaries | 5970 |
| Total Submitted Charge Amount | 2060312.52 |
| Total Medicare Allowed Amount | 829624.05 |
| Total Medicare Payment Amount | 639452.38 |
| Total Medicare Standardized Payment Amount | 682745.45 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 23377 |
| Number Of Medicare Beneficiaries With Drug Services | 296 |
| Total Drug Submitted ChargeAmount | 27133 |
| Total Drug Medicare AllowedAmount | 6644.67 |
| Total Drug Medicare PaymentAmount | 5038.35 |
| Total Drug Medicare Standardized Payment Amount | 5038.35 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 214 |
| Number Of Medical Services | 9741 |
| Number Of Medicare Beneficiaries With Medical Services | 5970 |
| Total Medical Submitted Charge Amount | 2033179.52 |
| Total Medical Medicare Allowed Amount | 822979.38 |
| Total Medical Medicare Payment Amount | 634414.03 |
| Total Medical Medicare Standardized Payment Amount | 677707.1 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1059 |
| Number Of Beneficiaries Age 65 to 74 | 2238 |
| Number Of Beneficiaries Age 75 to 84 | 1928 |
| Number Of Beneficiaries Age Greater 84 | 745 |
| Number Of Female Beneficiaries | 3696 |
| Number Of Male Beneficiaries | 2274 |
| Number Of Non Hispanic White Beneficiaries | 5034 |
| Number Of Black or African American Beneficiaries | 823 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 46 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4697 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1273 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6696 |