| National Provider Identifier [NPI]: | 1629249891 |
| Last Name Of The Provider | PRATTS-EMANUELLI |
| First Name Of The Provider | JOSE |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3024 BUSINESS PARK CIR |
| Street Address 2 Of The Provider | |
| City Of The Provider | GOODLETTSVILLE |
| Zip Code Of The Provider | 370723132 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 189 |
| Number Of Services | 22097 |
| Number Of Medicare Beneficiaries | 3674 |
| Total Submitted Charge Amount | 1477516.3 |
| Total Medicare Allowed Amount | 295799.1 |
| Total Medicare Payment Amount | 225981.38 |
| Total Medicare Standardized Payment Amount | 244936.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 16599 |
| Number Of Medicare Beneficiaries With Drug Services | 165 |
| Total Drug Submitted ChargeAmount | 1932.26 |
| Total Drug Medicare AllowedAmount | 1872.76 |
| Total Drug Medicare PaymentAmount | 1438.39 |
| Total Drug Medicare Standardized Payment Amount | 1438.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 183 |
| Number Of Medical Services | 5498 |
| Number Of Medicare Beneficiaries With Medical Services | 3674 |
| Total Medical Submitted Charge Amount | 1475584.04 |
| Total Medical Medicare Allowed Amount | 293926.34 |
| Total Medical Medicare Payment Amount | 224542.99 |
| Total Medical Medicare Standardized Payment Amount | 243498.19 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 634 |
| Number Of Beneficiaries Age 65 to 74 | 1434 |
| Number Of Beneficiaries Age 75 to 84 | 1106 |
| Number Of Beneficiaries Age Greater 84 | 500 |
| Number Of Female Beneficiaries | 2092 |
| Number Of Male Beneficiaries | 1582 |
| Number Of Non Hispanic White Beneficiaries | 3212 |
| Number Of Black or African American Beneficiaries | 388 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2958 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 716 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7417 |