| National Provider Identifier [NPI]: | 1639156367 |
| Last Name Of The Provider | LEONARD |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5221 US RT 60 E |
| Street Address 2 Of The Provider | RADIOLOGY INC |
| City Of The Provider | HUNTIGTON |
| Zip Code Of The Provider | 25705 |
| State Code Of The Provider | WV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 204 |
| Number Of Services | 14098 |
| Number Of Medicare Beneficiaries | 4555 |
| Total Submitted Charge Amount | 970034 |
| Total Medicare Allowed Amount | 234595.54 |
| Total Medicare Payment Amount | 174192.77 |
| Total Medicare Standardized Payment Amount | 189313.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6891 |
| Number Of Medicare Beneficiaries With Drug Services | 70 |
| Total Drug Submitted ChargeAmount | 3627 |
| Total Drug Medicare AllowedAmount | 1277.65 |
| Total Drug Medicare PaymentAmount | 1001.63 |
| Total Drug Medicare Standardized Payment Amount | 1001.63 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 202 |
| Number Of Medical Services | 7207 |
| Number Of Medicare Beneficiaries With Medical Services | 4555 |
| Total Medical Submitted Charge Amount | 966407 |
| Total Medical Medicare Allowed Amount | 233317.89 |
| Total Medical Medicare Payment Amount | 173191.14 |
| Total Medical Medicare Standardized Payment Amount | 188311.54 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 1420 |
| Number Of Beneficiaries Age 65 to 74 | 1580 |
| Number Of Beneficiaries Age 75 to 84 | 1077 |
| Number Of Beneficiaries Age Greater 84 | 478 |
| Number Of Female Beneficiaries | 2694 |
| Number Of Male Beneficiaries | 1861 |
| Number Of Non Hispanic White Beneficiaries | 4430 |
| Number Of Black or African American Beneficiaries | 81 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2763 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1792 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6243 |