| National Provider Identifier [NPI]: | 1225079783 |
| Last Name Of The Provider | VEILLON |
| First Name Of The Provider | BERNARD |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 208 MCFARLAND CIR N |
| Street Address 2 Of The Provider | |
| City Of The Provider | TUSCALOOSA |
| Zip Code Of The Provider | 354061800 |
| 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 | 195 |
| Number Of Services | 21409 |
| Number Of Medicare Beneficiaries | 4194 |
| Total Submitted Charge Amount | 1067010.69 |
| Total Medicare Allowed Amount | 425736.47 |
| Total Medicare Payment Amount | 322894.67 |
| Total Medicare Standardized Payment Amount | 354899.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 14474 |
| Number Of Medicare Beneficiaries With Drug Services | 189 |
| Total Drug Submitted ChargeAmount | 4645.04 |
| Total Drug Medicare AllowedAmount | 3710.85 |
| Total Drug Medicare PaymentAmount | 2849.86 |
| Total Drug Medicare Standardized Payment Amount | 2849.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 190 |
| Number Of Medical Services | 6935 |
| Number Of Medicare Beneficiaries With Medical Services | 4194 |
| Total Medical Submitted Charge Amount | 1062365.65 |
| Total Medical Medicare Allowed Amount | 422025.62 |
| Total Medical Medicare Payment Amount | 320044.81 |
| Total Medical Medicare Standardized Payment Amount | 352049.6 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1108 |
| Number Of Beneficiaries Age 65 to 74 | 1492 |
| Number Of Beneficiaries Age 75 to 84 | 1119 |
| Number Of Beneficiaries Age Greater 84 | 475 |
| Number Of Female Beneficiaries | 2699 |
| Number Of Male Beneficiaries | 1495 |
| Number Of Non Hispanic White Beneficiaries | 2923 |
| Number Of Black or African American Beneficiaries | 1220 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2984 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1210 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5724 |