| National Provider Identifier [NPI]: | 1619957370 |
| Last Name Of The Provider | BIELFELT |
| First Name Of The Provider | BRUCE |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4300 N ACCESS RD |
| Street Address 2 Of The Provider | SUITE D |
| City Of The Provider | CHATTANOOGA |
| Zip Code Of The Provider | 374153812 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 270 |
| Number Of Services | 14706 |
| Number Of Medicare Beneficiaries | 5737 |
| Total Submitted Charge Amount | 1447686 |
| Total Medicare Allowed Amount | 390443.13 |
| Total Medicare Payment Amount | 298217.21 |
| Total Medicare Standardized Payment Amount | 297190.55 |
| 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 | 270 |
| Number Of Medical Services | 14706 |
| Number Of Medicare Beneficiaries With Medical Services | 5737 |
| Total Medical Submitted Charge Amount | 1447686 |
| Total Medical Medicare Allowed Amount | 390443.13 |
| Total Medical Medicare Payment Amount | 298217.21 |
| Total Medical Medicare Standardized Payment Amount | 297190.55 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 632 |
| Number Of Beneficiaries Age 65 to 74 | 1832 |
| Number Of Beneficiaries Age 75 to 84 | 1886 |
| Number Of Beneficiaries Age Greater 84 | 1387 |
| Number Of Female Beneficiaries | 3252 |
| Number Of Male Beneficiaries | 2485 |
| Number Of Non Hispanic White Beneficiaries | 5326 |
| Number Of Black or African American Beneficiaries | 180 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 133 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 65 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4751 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 986 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7903 |