| National Provider Identifier [NPI]: | 1477556157 |
| Last Name Of The Provider | LOUTHAN |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2033 MEADOWVIEW LN |
| Street Address 2 Of The Provider | STE 200 |
| City Of The Provider | KINGSPORT |
| Zip Code Of The Provider | 376607569 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 190 |
| Number Of Services | 41971 |
| Number Of Medicare Beneficiaries | 2688 |
| Total Submitted Charge Amount | 3153006.5 |
| Total Medicare Allowed Amount | 878234.69 |
| Total Medicare Payment Amount | 671107.95 |
| Total Medicare Standardized Payment Amount | 746851.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 34647 |
| Number Of Medicare Beneficiaries With Drug Services | 495 |
| Total Drug Submitted ChargeAmount | 119897 |
| Total Drug Medicare AllowedAmount | 46451.59 |
| Total Drug Medicare PaymentAmount | 36144.73 |
| Total Drug Medicare Standardized Payment Amount | 36144.73 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 177 |
| Number Of Medical Services | 7324 |
| Number Of Medicare Beneficiaries With Medical Services | 2683 |
| Total Medical Submitted Charge Amount | 3033109.5 |
| Total Medical Medicare Allowed Amount | 831783.1 |
| Total Medical Medicare Payment Amount | 634963.22 |
| Total Medical Medicare Standardized Payment Amount | 710706.97 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 639 |
| Number Of Beneficiaries Age 65 to 74 | 1323 |
| Number Of Beneficiaries Age 75 to 84 | 556 |
| Number Of Beneficiaries Age Greater 84 | 170 |
| Number Of Female Beneficiaries | 1828 |
| Number Of Male Beneficiaries | 860 |
| Number Of Non Hispanic White Beneficiaries | 2622 |
| Number Of Black or African American Beneficiaries | 26 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2126 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 562 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 27 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0252 |