| National Provider Identifier [NPI]: | 1437136827 |
| Last Name Of The Provider | WEAVER |
| First Name Of The Provider | GREGORY |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2000 CHURCH ST |
| Street Address 2 Of The Provider | BAPTIST HOSPITAL |
| City Of The Provider | NASHVILLE |
| Zip Code Of The Provider | 372360001 |
| 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 | 137 |
| Number Of Services | 7200 |
| Number Of Medicare Beneficiaries | 5308 |
| Total Submitted Charge Amount | 567274.75 |
| Total Medicare Allowed Amount | 179454.99 |
| Total Medicare Payment Amount | 137552.82 |
| Total Medicare Standardized Payment Amount | 146898.91 |
| 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 | 137 |
| Number Of Medical Services | 7200 |
| Number Of Medicare Beneficiaries With Medical Services | 5308 |
| Total Medical Submitted Charge Amount | 567274.75 |
| Total Medical Medicare Allowed Amount | 179454.99 |
| Total Medical Medicare Payment Amount | 137552.82 |
| Total Medical Medicare Standardized Payment Amount | 146898.91 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1196 |
| Number Of Beneficiaries Age 65 to 74 | 1919 |
| Number Of Beneficiaries Age 75 to 84 | 1401 |
| Number Of Beneficiaries Age Greater 84 | 792 |
| Number Of Female Beneficiaries | 3092 |
| Number Of Male Beneficiaries | 2216 |
| Number Of Non Hispanic White Beneficiaries | 4589 |
| Number Of Black or African American Beneficiaries | 595 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 53 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3842 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1466 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 10 |
| 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 | 1.8424 |