| National Provider Identifier [NPI]: | 1073531042 |
| Last Name Of The Provider | GRIPPO |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | UVA HOSPITAL |
| Street Address 2 Of The Provider | LEE STREET, 1ST FLOOR |
| City Of The Provider | CHARLOTTESVILLE |
| Zip Code Of The Provider | 229080001 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 235 |
| Number Of Services | 10559 |
| Number Of Medicare Beneficiaries | 5481 |
| Total Submitted Charge Amount | 1229271.26 |
| Total Medicare Allowed Amount | 284335.73 |
| Total Medicare Payment Amount | 213585.29 |
| Total Medicare Standardized Payment Amount | 229953.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1184 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 2218.5 |
| Total Drug Medicare AllowedAmount | 319.54 |
| Total Drug Medicare PaymentAmount | 250.47 |
| Total Drug Medicare Standardized Payment Amount | 250.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 233 |
| Number Of Medical Services | 9375 |
| Number Of Medicare Beneficiaries With Medical Services | 5481 |
| Total Medical Submitted Charge Amount | 1227052.76 |
| Total Medical Medicare Allowed Amount | 284016.19 |
| Total Medical Medicare Payment Amount | 213334.82 |
| Total Medical Medicare Standardized Payment Amount | 229702.84 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1097 |
| Number Of Beneficiaries Age 65 to 74 | 2059 |
| Number Of Beneficiaries Age 75 to 84 | 1587 |
| Number Of Beneficiaries Age Greater 84 | 738 |
| Number Of Female Beneficiaries | 3463 |
| Number Of Male Beneficiaries | 2018 |
| Number Of Non Hispanic White Beneficiaries | 5087 |
| Number Of Black or African American Beneficiaries | 330 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3947 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1534 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4956 |