| National Provider Identifier [NPI]: | 1073544821 |
| Last Name Of The Provider | SCHEPENS |
| First Name Of The Provider | DANIEL |
| 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 | 113 NATIONWIDE DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | LYNCHBURG |
| Zip Code Of The Provider | 245024272 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 215 |
| Number Of Services | 29652 |
| Number Of Medicare Beneficiaries | 5727 |
| Total Submitted Charge Amount | 1362335.68 |
| Total Medicare Allowed Amount | 467524.24 |
| Total Medicare Payment Amount | 342817.31 |
| Total Medicare Standardized Payment Amount | 355384.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 20608 |
| Number Of Medicare Beneficiaries With Drug Services | 247 |
| Total Drug Submitted ChargeAmount | 13861.68 |
| Total Drug Medicare AllowedAmount | 5271.22 |
| Total Drug Medicare PaymentAmount | 4025.73 |
| Total Drug Medicare Standardized Payment Amount | 4025.73 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 212 |
| Number Of Medical Services | 9044 |
| Number Of Medicare Beneficiaries With Medical Services | 5727 |
| Total Medical Submitted Charge Amount | 1348474 |
| Total Medical Medicare Allowed Amount | 462253.02 |
| Total Medical Medicare Payment Amount | 338791.58 |
| Total Medical Medicare Standardized Payment Amount | 351358.76 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1064 |
| Number Of Beneficiaries Age 65 to 74 | 1999 |
| Number Of Beneficiaries Age 75 to 84 | 1671 |
| Number Of Beneficiaries Age Greater 84 | 993 |
| Number Of Female Beneficiaries | 3294 |
| Number Of Male Beneficiaries | 2433 |
| Number Of Non Hispanic White Beneficiaries | 4411 |
| Number Of Black or African American Beneficiaries | 1227 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4142 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1585 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6349 |