| National Provider Identifier [NPI]: | 1831173442 |
| Last Name Of The Provider | BRIEN |
| First Name Of The Provider | JENNIFER |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2501 KENTUCKY AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | PADUCAH |
| Zip Code Of The Provider | 420033813 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 233 |
| Number Of Services | 6573 |
| Number Of Medicare Beneficiaries | 3999 |
| Total Submitted Charge Amount | 711636 |
| Total Medicare Allowed Amount | 202509.75 |
| Total Medicare Payment Amount | 150843.49 |
| Total Medicare Standardized Payment Amount | 160526.48 |
| 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 | 233 |
| Number Of Medical Services | 6573 |
| Number Of Medicare Beneficiaries With Medical Services | 3999 |
| Total Medical Submitted Charge Amount | 711636 |
| Total Medical Medicare Allowed Amount | 202509.75 |
| Total Medical Medicare Payment Amount | 150843.49 |
| Total Medical Medicare Standardized Payment Amount | 160526.48 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 899 |
| Number Of Beneficiaries Age 65 to 74 | 1512 |
| Number Of Beneficiaries Age 75 to 84 | 1092 |
| Number Of Beneficiaries Age Greater 84 | 496 |
| Number Of Female Beneficiaries | 2395 |
| Number Of Male Beneficiaries | 1604 |
| Number Of Non Hispanic White Beneficiaries | 3740 |
| Number Of Black or African American Beneficiaries | 215 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2995 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1004 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5521 |