| National Provider Identifier [NPI]: | 1609857291 |
| Last Name Of The Provider | HAGER |
| First Name Of The Provider | KENNON |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 820 S 4TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | GADSDEN |
| Zip Code Of The Provider | 359015223 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 141 |
| Number Of Services | 17044 |
| Number Of Medicare Beneficiaries | 5476 |
| Total Submitted Charge Amount | 3652539.46 |
| Total Medicare Allowed Amount | 1073624.71 |
| Total Medicare Payment Amount | 819210.58 |
| Total Medicare Standardized Payment Amount | 946766.23 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 550 |
| Number Of Medicare Beneficiaries With Drug Services | 504 |
| Total Drug Submitted ChargeAmount | 21185 |
| Total Drug Medicare AllowedAmount | 411.98 |
| Total Drug Medicare PaymentAmount | 320.75 |
| Total Drug Medicare Standardized Payment Amount | 320.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 139 |
| Number Of Medical Services | 16494 |
| Number Of Medicare Beneficiaries With Medical Services | 5476 |
| Total Medical Submitted Charge Amount | 3631354.46 |
| Total Medical Medicare Allowed Amount | 1073212.73 |
| Total Medical Medicare Payment Amount | 818889.83 |
| Total Medical Medicare Standardized Payment Amount | 946445.48 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1314 |
| Number Of Beneficiaries Age 65 to 74 | 2383 |
| Number Of Beneficiaries Age 75 to 84 | 1409 |
| Number Of Beneficiaries Age Greater 84 | 370 |
| Number Of Female Beneficiaries | 4215 |
| Number Of Male Beneficiaries | 1261 |
| Number Of Non Hispanic White Beneficiaries | 4901 |
| Number Of Black or African American Beneficiaries | 503 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4344 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1132 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0496 |