| National Provider Identifier [NPI]: | 1023143302 |
| Last Name Of The Provider | KERR |
| First Name Of The Provider | JASON |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3501 N SCOTTSDALE RD |
| Street Address 2 Of The Provider | SUITE 130 |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852515648 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 275 |
| Number Of Services | 10130 |
| Number Of Medicare Beneficiaries | 4099 |
| Total Submitted Charge Amount | 1089844.6 |
| Total Medicare Allowed Amount | 251028.29 |
| Total Medicare Payment Amount | 187462.04 |
| Total Medicare Standardized Payment Amount | 191173.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 3749 |
| Number Of Medicare Beneficiaries With Drug Services | 35 |
| Total Drug Submitted ChargeAmount | 9550.6 |
| Total Drug Medicare AllowedAmount | 755.3 |
| Total Drug Medicare PaymentAmount | 592.09 |
| Total Drug Medicare Standardized Payment Amount | 592.09 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 272 |
| Number Of Medical Services | 6381 |
| Number Of Medicare Beneficiaries With Medical Services | 4099 |
| Total Medical Submitted Charge Amount | 1080294 |
| Total Medical Medicare Allowed Amount | 250272.99 |
| Total Medical Medicare Payment Amount | 186869.95 |
| Total Medical Medicare Standardized Payment Amount | 190581.39 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 494 |
| Number Of Beneficiaries Age 65 to 74 | 1457 |
| Number Of Beneficiaries Age 75 to 84 | 1308 |
| Number Of Beneficiaries Age Greater 84 | 840 |
| Number Of Female Beneficiaries | 2240 |
| Number Of Male Beneficiaries | 1859 |
| Number Of Non Hispanic White Beneficiaries | 3315 |
| Number Of Black or African American Beneficiaries | 177 |
| Number Of AsianPacific Islander Beneficiaries | 43 |
| Number Of Hispanic Beneficiaries | 465 |
| Number Of American Indian Alaska Native Beneficiaries | 56 |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3235 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 864 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7824 |