| National Provider Identifier [NPI]: | 1952387391 |
| Last Name Of The Provider | SMITH |
| First Name Of The Provider | LAMAR |
| 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 | 5544 GREENWICH RD STE 200 |
| Street Address 2 Of The Provider | |
| City Of The Provider | VIRGINIA BEACH |
| Zip Code Of The Provider | 234626563 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 156 |
| Number Of Services | 5293 |
| Number Of Medicare Beneficiaries | 4118 |
| Total Submitted Charge Amount | 492716 |
| Total Medicare Allowed Amount | 134652.09 |
| Total Medicare Payment Amount | 98738.3 |
| Total Medicare Standardized Payment Amount | 101143.77 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 156 |
| Number Of Medical Services | 5293 |
| Number Of Medicare Beneficiaries With Medical Services | 4118 |
| Total Medical Submitted Charge Amount | 492716 |
| Total Medical Medicare Allowed Amount | 134652.09 |
| Total Medical Medicare Payment Amount | 98738.3 |
| Total Medical Medicare Standardized Payment Amount | 101143.77 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 676 |
| Number Of Beneficiaries Age 65 to 74 | 1528 |
| Number Of Beneficiaries Age 75 to 84 | 1265 |
| Number Of Beneficiaries Age Greater 84 | 649 |
| Number Of Female Beneficiaries | 2285 |
| Number Of Male Beneficiaries | 1833 |
| Number Of Non Hispanic White Beneficiaries | 2680 |
| Number Of Black or African American Beneficiaries | 1263 |
| Number Of AsianPacific Islander Beneficiaries | 68 |
| Number Of Hispanic Beneficiaries | 57 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3350 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 768 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8118 |