| National Provider Identifier [NPI]: | 1356338719 |
| Last Name Of The Provider | SPANN |
| First Name Of The Provider | AARON |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 500 S UNIVERSITY AVE |
| Street Address 2 Of The Provider | STE 101 |
| City Of The Provider | LITTLE ROCK |
| Zip Code Of The Provider | 722055302 |
| 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 | 217 |
| Number Of Services | 15696 |
| Number Of Medicare Beneficiaries | 5852 |
| Total Submitted Charge Amount | 1089206.5 |
| Total Medicare Allowed Amount | 346077.68 |
| Total Medicare Payment Amount | 260718.61 |
| Total Medicare Standardized Payment Amount | 288281.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 7299 |
| Number Of Medicare Beneficiaries With Drug Services | 96 |
| Total Drug Submitted ChargeAmount | 5210.5 |
| Total Drug Medicare AllowedAmount | 2193.62 |
| Total Drug Medicare PaymentAmount | 1709.55 |
| Total Drug Medicare Standardized Payment Amount | 1709.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 214 |
| Number Of Medical Services | 8397 |
| Number Of Medicare Beneficiaries With Medical Services | 5852 |
| Total Medical Submitted Charge Amount | 1083996 |
| Total Medical Medicare Allowed Amount | 343884.06 |
| Total Medical Medicare Payment Amount | 259009.06 |
| Total Medical Medicare Standardized Payment Amount | 286572 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1270 |
| Number Of Beneficiaries Age 65 to 74 | 2035 |
| Number Of Beneficiaries Age 75 to 84 | 1717 |
| Number Of Beneficiaries Age Greater 84 | 830 |
| Number Of Female Beneficiaries | 3542 |
| Number Of Male Beneficiaries | 2310 |
| Number Of Non Hispanic White Beneficiaries | 4963 |
| Number Of Black or African American Beneficiaries | 773 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 50 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4266 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1586 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.4704 |