| National Provider Identifier [NPI]: | 1124052618 |
| Last Name Of The Provider | SIMMONS |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 842 E MAIN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | MEDFORD |
| Zip Code Of The Provider | 975047134 |
| State Code Of The Provider | OR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 167 |
| Number Of Services | 8893 |
| Number Of Medicare Beneficiaries | 4242 |
| Total Submitted Charge Amount | 786274.95 |
| Total Medicare Allowed Amount | 205229.59 |
| Total Medicare Payment Amount | 153868.68 |
| Total Medicare Standardized Payment Amount | 160797.16 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2887 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 5311.94 |
| Total Drug Medicare AllowedAmount | 1179.46 |
| Total Drug Medicare PaymentAmount | 905.42 |
| Total Drug Medicare Standardized Payment Amount | 905.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 164 |
| Number Of Medical Services | 6006 |
| Number Of Medicare Beneficiaries With Medical Services | 4242 |
| Total Medical Submitted Charge Amount | 780963.01 |
| Total Medical Medicare Allowed Amount | 204050.13 |
| Total Medical Medicare Payment Amount | 152963.26 |
| Total Medical Medicare Standardized Payment Amount | 159891.74 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 703 |
| Number Of Beneficiaries Age 65 to 74 | 1768 |
| Number Of Beneficiaries Age 75 to 84 | 1165 |
| Number Of Beneficiaries Age Greater 84 | 606 |
| Number Of Female Beneficiaries | 2358 |
| Number Of Male Beneficiaries | 1884 |
| Number Of Non Hispanic White Beneficiaries | 4004 |
| Number Of Black or African American Beneficiaries | 14 |
| Number Of AsianPacific Islander Beneficiaries | 22 |
| Number Of Hispanic Beneficiaries | 103 |
| Number Of American Indian Alaska Native Beneficiaries | 53 |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3267 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 975 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3828 |