| National Provider Identifier [NPI]: | 1558467084 |
| Last Name Of The Provider | HOPKIN |
| First Name Of The Provider | JEREMY |
| 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 | 1380 EAST MEDICAL CENTER DR |
| Street Address 2 Of The Provider | DIXIE REGIONAL MEDICAL CENTER |
| City Of The Provider | ST. GEORGE |
| Zip Code Of The Provider | 84790 |
| State Code Of The Provider | UT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 173 |
| Number Of Services | 4897 |
| Number Of Medicare Beneficiaries | 2427 |
| Total Submitted Charge Amount | 1007543.76 |
| Total Medicare Allowed Amount | 291489.54 |
| Total Medicare Payment Amount | 225761.49 |
| Total Medicare Standardized Payment Amount | 236231.37 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1041 |
| Number Of Medicare Beneficiaries With Drug Services | 18 |
| Total Drug Submitted ChargeAmount | 7654.2 |
| Total Drug Medicare AllowedAmount | 337.28 |
| Total Drug Medicare PaymentAmount | 264.42 |
| Total Drug Medicare Standardized Payment Amount | 264.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 171 |
| Number Of Medical Services | 3856 |
| Number Of Medicare Beneficiaries With Medical Services | 2427 |
| Total Medical Submitted Charge Amount | 999889.56 |
| Total Medical Medicare Allowed Amount | 291152.26 |
| Total Medical Medicare Payment Amount | 225497.07 |
| Total Medical Medicare Standardized Payment Amount | 235966.95 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 224 |
| Number Of Beneficiaries Age 65 to 74 | 1111 |
| Number Of Beneficiaries Age 75 to 84 | 793 |
| Number Of Beneficiaries Age Greater 84 | 299 |
| Number Of Female Beneficiaries | 1438 |
| Number Of Male Beneficiaries | 989 |
| Number Of Non Hispanic White Beneficiaries | 2302 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 23 |
| Number Of Hispanic Beneficiaries | 62 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2201 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 226 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.2789 |