| National Provider Identifier [NPI]: | 1407931793 |
| Last Name Of The Provider | ROSCOE |
| First Name Of The Provider | KEVIN |
| 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 | 3417 ENSIGN RD NE |
| Street Address 2 Of The Provider | |
| City Of The Provider | OLYMPIA |
| Zip Code Of The Provider | 985065075 |
| State Code Of The Provider | WA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 224 |
| Number Of Services | 14427 |
| Number Of Medicare Beneficiaries | 4599 |
| Total Submitted Charge Amount | 953809.89 |
| Total Medicare Allowed Amount | 343503.33 |
| Total Medicare Payment Amount | 275338.74 |
| Total Medicare Standardized Payment Amount | 284690.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 6194 |
| Number Of Medicare Beneficiaries With Drug Services | 95 |
| Total Drug Submitted ChargeAmount | 5040.38 |
| Total Drug Medicare AllowedAmount | 1480.62 |
| Total Drug Medicare PaymentAmount | 1138.67 |
| Total Drug Medicare Standardized Payment Amount | 1138.67 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 221 |
| Number Of Medical Services | 8233 |
| Number Of Medicare Beneficiaries With Medical Services | 4599 |
| Total Medical Submitted Charge Amount | 948769.51 |
| Total Medical Medicare Allowed Amount | 342022.71 |
| Total Medical Medicare Payment Amount | 274200.07 |
| Total Medical Medicare Standardized Payment Amount | 283551.55 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 767 |
| Number Of Beneficiaries Age 65 to 74 | 1908 |
| Number Of Beneficiaries Age 75 to 84 | 1332 |
| Number Of Beneficiaries Age Greater 84 | 592 |
| Number Of Female Beneficiaries | 2960 |
| Number Of Male Beneficiaries | 1639 |
| Number Of Non Hispanic White Beneficiaries | 4262 |
| Number Of Black or African American Beneficiaries | 39 |
| Number Of AsianPacific Islander Beneficiaries | 76 |
| Number Of Hispanic Beneficiaries | 78 |
| Number Of American Indian Alaska Native Beneficiaries | 82 |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3606 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 993 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 46 |
| Percent Of With Hypertension | 60 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.2895 |