| National Provider Identifier [NPI]: | 1346460367 |
| Last Name Of The Provider | SKELTON |
| First Name Of The Provider | BRANDON |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 499 GLOSTER CREEK VLG |
| Street Address 2 Of The Provider | SUITE J7 |
| City Of The Provider | TUPELO |
| Zip Code Of The Provider | 388014600 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 244 |
| Number Of Services | 13248 |
| Number Of Medicare Beneficiaries | 6027 |
| Total Submitted Charge Amount | 1411196.2 |
| Total Medicare Allowed Amount | 396704.52 |
| Total Medicare Payment Amount | 298802.99 |
| Total Medicare Standardized Payment Amount | 319398.51 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 244 |
| Number Of Medical Services | 13248 |
| Number Of Medicare Beneficiaries With Medical Services | 6027 |
| Total Medical Submitted Charge Amount | 1411196.2 |
| Total Medical Medicare Allowed Amount | 396704.52 |
| Total Medical Medicare Payment Amount | 298802.99 |
| Total Medical Medicare Standardized Payment Amount | 319398.51 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1757 |
| Number Of Beneficiaries Age 65 to 74 | 2179 |
| Number Of Beneficiaries Age 75 to 84 | 1460 |
| Number Of Beneficiaries Age Greater 84 | 631 |
| Number Of Female Beneficiaries | 3722 |
| Number Of Male Beneficiaries | 2305 |
| Number Of Non Hispanic White Beneficiaries | 5559 |
| Number Of Black or African American Beneficiaries | 403 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 32 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3453 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2574 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4933 |