| National Provider Identifier [NPI]: | 1598898371 |
| Last Name Of The Provider | WYATT |
| First Name Of The Provider | GINA |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 651 DUNLOP LN |
| Street Address 2 Of The Provider | |
| City Of The Provider | CLARKSVILLE |
| Zip Code Of The Provider | 370405015 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 209 |
| Number Of Services | 10578 |
| Number Of Medicare Beneficiaries | 3875 |
| Total Submitted Charge Amount | 1248457 |
| Total Medicare Allowed Amount | 264311.38 |
| Total Medicare Payment Amount | 197564.64 |
| Total Medicare Standardized Payment Amount | 213375.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2545 |
| Number Of Medicare Beneficiaries With Drug Services | 43 |
| Total Drug Submitted ChargeAmount | 7850 |
| Total Drug Medicare AllowedAmount | 1086.26 |
| Total Drug Medicare PaymentAmount | 838.08 |
| Total Drug Medicare Standardized Payment Amount | 838.08 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 207 |
| Number Of Medical Services | 8033 |
| Number Of Medicare Beneficiaries With Medical Services | 3871 |
| Total Medical Submitted Charge Amount | 1240607 |
| Total Medical Medicare Allowed Amount | 263225.12 |
| Total Medical Medicare Payment Amount | 196726.56 |
| Total Medical Medicare Standardized Payment Amount | 212537.76 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 842 |
| Number Of Beneficiaries Age 65 to 74 | 1562 |
| Number Of Beneficiaries Age 75 to 84 | 1022 |
| Number Of Beneficiaries Age Greater 84 | 449 |
| Number Of Female Beneficiaries | 2485 |
| Number Of Male Beneficiaries | 1390 |
| Number Of Non Hispanic White Beneficiaries | 3091 |
| Number Of Black or African American Beneficiaries | 585 |
| Number Of AsianPacific Islander Beneficiaries | 53 |
| Number Of Hispanic Beneficiaries | 97 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2964 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 911 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4904 |