| National Provider Identifier [NPI]: | 1730186719 |
| Last Name Of The Provider | SPENCER |
| First Name Of The Provider | HOMER |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1007 GOODYEAR AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | GADSDEN |
| Zip Code Of The Provider | 359031195 |
| 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 | 226 |
| Number Of Services | 10846 |
| Number Of Medicare Beneficiaries | 4263 |
| Total Submitted Charge Amount | 1592499 |
| Total Medicare Allowed Amount | 550819.28 |
| Total Medicare Payment Amount | 423425.9 |
| Total Medicare Standardized Payment Amount | 438565.19 |
| 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 | 226 |
| Number Of Medical Services | 10846 |
| Number Of Medicare Beneficiaries With Medical Services | 4263 |
| Total Medical Submitted Charge Amount | 1592499 |
| Total Medical Medicare Allowed Amount | 550819.28 |
| Total Medical Medicare Payment Amount | 423425.9 |
| Total Medical Medicare Standardized Payment Amount | 438565.19 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1108 |
| Number Of Beneficiaries Age 65 to 74 | 1496 |
| Number Of Beneficiaries Age 75 to 84 | 1141 |
| Number Of Beneficiaries Age Greater 84 | 518 |
| Number Of Female Beneficiaries | 2517 |
| Number Of Male Beneficiaries | 1746 |
| Number Of Non Hispanic White Beneficiaries | 3834 |
| Number Of Black or African American Beneficiaries | 384 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2981 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1282 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5942 |