| National Provider Identifier [NPI]: | 1154356764 |
| Last Name Of The Provider | REEF |
| First Name Of The Provider | ELLIS |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6025 WALNUT GROVE RD |
| Street Address 2 Of The Provider | ECHO LAB |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 381202131 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 11 |
| Number Of Services | 11644 |
| Number Of Medicare Beneficiaries | 6092 |
| Total Submitted Charge Amount | 4063058 |
| Total Medicare Allowed Amount | 253691.56 |
| Total Medicare Payment Amount | 194238.1 |
| Total Medicare Standardized Payment Amount | 202972.96 |
| 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 | 11 |
| Number Of Medical Services | 11644 |
| Number Of Medicare Beneficiaries With Medical Services | 6092 |
| Total Medical Submitted Charge Amount | 4063058 |
| Total Medical Medicare Allowed Amount | 253691.56 |
| Total Medical Medicare Payment Amount | 194238.1 |
| Total Medical Medicare Standardized Payment Amount | 202972.96 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1017 |
| Number Of Beneficiaries Age 65 to 74 | 2028 |
| Number Of Beneficiaries Age 75 to 84 | 1982 |
| Number Of Beneficiaries Age Greater 84 | 1065 |
| Number Of Female Beneficiaries | 3350 |
| Number Of Male Beneficiaries | 2742 |
| Number Of Non Hispanic White Beneficiaries | 4422 |
| Number Of Black or African American Beneficiaries | 1559 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 41 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4629 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1463 |
| Percent Of With Atrial Fibrillation | 32 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 51 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.1696 |