| National Provider Identifier [NPI]: | 1811100985 |
| Last Name Of The Provider | CAMPBELL |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2337 HOMER CLAYTON DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | GUNTERSVILLE |
| Zip Code Of The Provider | 359762205 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 142 |
| Number Of Services | 16930 |
| Number Of Medicare Beneficiaries | 1392 |
| Total Submitted Charge Amount | 575012.34 |
| Total Medicare Allowed Amount | 401988.91 |
| Total Medicare Payment Amount | 280208.42 |
| Total Medicare Standardized Payment Amount | 314031.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 24 |
| Number Of Drug Services | 9063 |
| Number Of Medicare Beneficiaries With Drug Services | 896 |
| Total Drug Submitted ChargeAmount | 89669.55 |
| Total Drug Medicare AllowedAmount | 16032.55 |
| Total Drug Medicare PaymentAmount | 12717.09 |
| Total Drug Medicare Standardized Payment Amount | 12717.09 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 118 |
| Number Of Medical Services | 7867 |
| Number Of Medicare Beneficiaries With Medical Services | 1392 |
| Total Medical Submitted Charge Amount | 485342.79 |
| Total Medical Medicare Allowed Amount | 385956.36 |
| Total Medical Medicare Payment Amount | 267491.33 |
| Total Medical Medicare Standardized Payment Amount | 301314.33 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 202 |
| Number Of Beneficiaries Age 65 to 74 | 624 |
| Number Of Beneficiaries Age 75 to 84 | 441 |
| Number Of Beneficiaries Age Greater 84 | 125 |
| Number Of Female Beneficiaries | 840 |
| Number Of Male Beneficiaries | 552 |
| Number Of Non Hispanic White Beneficiaries | 1379 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1148 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 244 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 6 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 43 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.0753 |