| National Provider Identifier [NPI]: | 1952384943 |
| Last Name Of The Provider | GUM |
| First Name Of The Provider | GREGORY |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2006 FRANKLIN ST SE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | HUNTSVILLE |
| Zip Code Of The Provider | 358014551 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 215 |
| Number Of Services | 10530 |
| Number Of Medicare Beneficiaries | 5117 |
| Total Submitted Charge Amount | 658929.49 |
| Total Medicare Allowed Amount | 255956.89 |
| Total Medicare Payment Amount | 194415.01 |
| Total Medicare Standardized Payment Amount | 211649.09 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2575 |
| Number Of Medicare Beneficiaries With Drug Services | 48 |
| Total Drug Submitted ChargeAmount | 3622.35 |
| Total Drug Medicare AllowedAmount | 1078.96 |
| Total Drug Medicare PaymentAmount | 830.28 |
| Total Drug Medicare Standardized Payment Amount | 830.28 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 213 |
| Number Of Medical Services | 7955 |
| Number Of Medicare Beneficiaries With Medical Services | 5117 |
| Total Medical Submitted Charge Amount | 655307.14 |
| Total Medical Medicare Allowed Amount | 254877.93 |
| Total Medical Medicare Payment Amount | 193584.73 |
| Total Medical Medicare Standardized Payment Amount | 210818.81 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 962 |
| Number Of Beneficiaries Age 65 to 74 | 1845 |
| Number Of Beneficiaries Age 75 to 84 | 1572 |
| Number Of Beneficiaries Age Greater 84 | 738 |
| Number Of Female Beneficiaries | 3254 |
| Number Of Male Beneficiaries | 1863 |
| Number Of Non Hispanic White Beneficiaries | 4369 |
| Number Of Black or African American Beneficiaries | 647 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| 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 | 3972 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1145 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5366 |