| National Provider Identifier [NPI]: | 1114918091 |
| Last Name Of The Provider | THOMPSON |
| First Name Of The Provider | KERRY |
| 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 | 2002 MEDICAL PKWY |
| Street Address 2 Of The Provider | SUITE #235 |
| City Of The Provider | ANNAPOLIS |
| Zip Code Of The Provider | 214013046 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 211 |
| Number Of Services | 13841 |
| Number Of Medicare Beneficiaries | 3465 |
| Total Submitted Charge Amount | 1439181.9 |
| Total Medicare Allowed Amount | 454159.28 |
| Total Medicare Payment Amount | 350623.87 |
| Total Medicare Standardized Payment Amount | 328466.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 8476 |
| Number Of Medicare Beneficiaries With Drug Services | 194 |
| Total Drug Submitted ChargeAmount | 15191 |
| Total Drug Medicare AllowedAmount | 4583.02 |
| Total Drug Medicare PaymentAmount | 3517.01 |
| Total Drug Medicare Standardized Payment Amount | 3517.01 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 209 |
| Number Of Medical Services | 5365 |
| Number Of Medicare Beneficiaries With Medical Services | 3464 |
| Total Medical Submitted Charge Amount | 1423990.9 |
| Total Medical Medicare Allowed Amount | 449576.26 |
| Total Medical Medicare Payment Amount | 347106.86 |
| Total Medical Medicare Standardized Payment Amount | 324949.83 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 368 |
| Number Of Beneficiaries Age 65 to 74 | 1333 |
| Number Of Beneficiaries Age 75 to 84 | 1126 |
| Number Of Beneficiaries Age Greater 84 | 638 |
| Number Of Female Beneficiaries | 2083 |
| Number Of Male Beneficiaries | 1382 |
| Number Of Non Hispanic White Beneficiaries | 2774 |
| Number Of Black or African American Beneficiaries | 589 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 43 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3074 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 391 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6263 |