| National Provider Identifier [NPI]: | 1659369429 |
| Last Name Of The Provider | DAVIDSON |
| First Name Of The Provider | DIRK |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 49 CLEVELAND ST |
| Street Address 2 Of The Provider | SUITE 270 |
| City Of The Provider | CROSSVILLE |
| Zip Code Of The Provider | 385559716 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Medical Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 135 |
| Number Of Services | 299595 |
| Number Of Medicare Beneficiaries | 1043 |
| Total Submitted Charge Amount | 9573162.93 |
| Total Medicare Allowed Amount | 3813405.17 |
| Total Medicare Payment Amount | 2982475.67 |
| Total Medicare Standardized Payment Amount | 3007993.79 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 77 |
| Number Of Drug Services | 267910 |
| Number Of Medicare Beneficiaries With Drug Services | 534 |
| Total Drug Submitted ChargeAmount | 7004919.18 |
| Total Drug Medicare AllowedAmount | 2882562.66 |
| Total Drug Medicare PaymentAmount | 2240536.07 |
| Total Drug Medicare Standardized Payment Amount | 2240536.07 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 31685 |
| Number Of Medicare Beneficiaries With Medical Services | 1043 |
| Total Medical Submitted Charge Amount | 2568243.75 |
| Total Medical Medicare Allowed Amount | 930842.51 |
| Total Medical Medicare Payment Amount | 741939.6 |
| Total Medical Medicare Standardized Payment Amount | 767457.72 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 131 |
| Number Of Beneficiaries Age 65 to 74 | 442 |
| Number Of Beneficiaries Age 75 to 84 | 362 |
| Number Of Beneficiaries Age Greater 84 | 108 |
| Number Of Female Beneficiaries | 648 |
| Number Of Male Beneficiaries | 395 |
| Number Of Non Hispanic White Beneficiaries | 1025 |
| 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 | 817 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 226 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 35 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 27 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.6689 |