| National Provider Identifier [NPI]: | 1396702494 |
| Last Name Of The Provider | CONRAD |
| First Name Of The Provider | LYNN |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1325 WOLF PARK DR |
| Street Address 2 Of The Provider | SUITE 102 |
| City Of The Provider | GERMANTOWN |
| Zip Code Of The Provider | 381381742 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 137 |
| Number Of Services | 47222 |
| Number Of Medicare Beneficiaries | 1710 |
| Total Submitted Charge Amount | 2941488 |
| Total Medicare Allowed Amount | 893515.87 |
| Total Medicare Payment Amount | 659039.71 |
| Total Medicare Standardized Payment Amount | 694733.14 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 19 |
| Number Of Drug Services | 33747 |
| Number Of Medicare Beneficiaries With Drug Services | 302 |
| Total Drug Submitted ChargeAmount | 1220028 |
| Total Drug Medicare AllowedAmount | 365019.85 |
| Total Drug Medicare PaymentAmount | 261991.34 |
| Total Drug Medicare Standardized Payment Amount | 261991.34 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 118 |
| Number Of Medical Services | 13475 |
| Number Of Medicare Beneficiaries With Medical Services | 1710 |
| Total Medical Submitted Charge Amount | 1721460 |
| Total Medical Medicare Allowed Amount | 528496.02 |
| Total Medical Medicare Payment Amount | 397048.37 |
| Total Medical Medicare Standardized Payment Amount | 432741.8 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 112 |
| Number Of Beneficiaries Age 65 to 74 | 753 |
| Number Of Beneficiaries Age 75 to 84 | 620 |
| Number Of Beneficiaries Age Greater 84 | 225 |
| Number Of Female Beneficiaries | 497 |
| Number Of Male Beneficiaries | 1213 |
| Number Of Non Hispanic White Beneficiaries | 1503 |
| Number Of Black or African American Beneficiaries | 179 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 11 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1647 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 63 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 23 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.1116 |