| National Provider Identifier [NPI]: | 1912984758 |
| Last Name Of The Provider | LASSITER |
| First Name Of The Provider | GREGORY |
| 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 | 2300 PATTERSON ST |
| Street Address 2 Of The Provider | CENTENNIAL MEDICAL CENTER |
| City Of The Provider | NASHVILLE |
| Zip Code Of The Provider | 372031538 |
| 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 | 133 |
| Number Of Services | 5851 |
| Number Of Medicare Beneficiaries | 4128 |
| Total Submitted Charge Amount | 645839.5 |
| Total Medicare Allowed Amount | 201937.72 |
| Total Medicare Payment Amount | 155880.53 |
| Total Medicare Standardized Payment Amount | 166867.34 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 229 |
| Number Of Medicare Beneficiaries With Drug Services | 15 |
| Total Drug Submitted ChargeAmount | 1145 |
| Total Drug Medicare AllowedAmount | 455.24 |
| Total Drug Medicare PaymentAmount | 356.87 |
| Total Drug Medicare Standardized Payment Amount | 356.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 132 |
| Number Of Medical Services | 5622 |
| Number Of Medicare Beneficiaries With Medical Services | 4128 |
| Total Medical Submitted Charge Amount | 644694.5 |
| Total Medical Medicare Allowed Amount | 201482.48 |
| Total Medical Medicare Payment Amount | 155523.66 |
| Total Medical Medicare Standardized Payment Amount | 166510.47 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 889 |
| Number Of Beneficiaries Age 65 to 74 | 1391 |
| Number Of Beneficiaries Age 75 to 84 | 1161 |
| Number Of Beneficiaries Age Greater 84 | 687 |
| Number Of Female Beneficiaries | 2427 |
| Number Of Male Beneficiaries | 1701 |
| Number Of Non Hispanic White Beneficiaries | 3601 |
| Number Of Black or African American Beneficiaries | 444 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3000 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1128 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 14 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.8645 |