| National Provider Identifier [NPI]: | 1689659039 |
| Last Name Of The Provider | JUDD |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 10010 KENNERLY RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAINT LOUIS |
| Zip Code Of The Provider | 631282106 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 178 |
| Number Of Services | 9426 |
| Number Of Medicare Beneficiaries | 5552 |
| Total Submitted Charge Amount | 700401.7 |
| Total Medicare Allowed Amount | 274076.39 |
| Total Medicare Payment Amount | 206886.17 |
| Total Medicare Standardized Payment Amount | 212090.8 |
| 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 | 178 |
| Number Of Medical Services | 9426 |
| Number Of Medicare Beneficiaries With Medical Services | 5552 |
| Total Medical Submitted Charge Amount | 700401.7 |
| Total Medical Medicare Allowed Amount | 274076.39 |
| Total Medical Medicare Payment Amount | 206886.17 |
| Total Medical Medicare Standardized Payment Amount | 212090.8 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1131 |
| Number Of Beneficiaries Age 65 to 74 | 1889 |
| Number Of Beneficiaries Age 75 to 84 | 1563 |
| Number Of Beneficiaries Age Greater 84 | 969 |
| Number Of Female Beneficiaries | 3602 |
| Number Of Male Beneficiaries | 1950 |
| Number Of Non Hispanic White Beneficiaries | 5130 |
| Number Of Black or African American Beneficiaries | 283 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 50 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 57 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4267 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1285 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6962 |