| National Provider Identifier [NPI]: | 1295928174 |
| Last Name Of The Provider | TOMLIN |
| First Name Of The Provider | MATTHEW |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 113 NATIONWIDE DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | LYNCHBURG |
| Zip Code Of The Provider | 245024272 |
| 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 | 191 |
| Number Of Services | 24523 |
| Number Of Medicare Beneficiaries | 5411 |
| Total Submitted Charge Amount | 1264479.84 |
| Total Medicare Allowed Amount | 509908.74 |
| Total Medicare Payment Amount | 379960.69 |
| Total Medicare Standardized Payment Amount | 387998.1 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 15669 |
| Number Of Medicare Beneficiaries With Drug Services | 172 |
| Total Drug Submitted ChargeAmount | 5640.84 |
| Total Drug Medicare AllowedAmount | 2922.88 |
| Total Drug Medicare PaymentAmount | 2235.13 |
| Total Drug Medicare Standardized Payment Amount | 2235.13 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 190 |
| Number Of Medical Services | 8854 |
| Number Of Medicare Beneficiaries With Medical Services | 5411 |
| Total Medical Submitted Charge Amount | 1258839 |
| Total Medical Medicare Allowed Amount | 506985.86 |
| Total Medical Medicare Payment Amount | 377725.56 |
| Total Medical Medicare Standardized Payment Amount | 385762.97 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1009 |
| Number Of Beneficiaries Age 65 to 74 | 1862 |
| Number Of Beneficiaries Age 75 to 84 | 1615 |
| Number Of Beneficiaries Age Greater 84 | 925 |
| Number Of Female Beneficiaries | 3199 |
| Number Of Male Beneficiaries | 2212 |
| Number Of Non Hispanic White Beneficiaries | 4227 |
| Number Of Black or African American Beneficiaries | 1103 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 18 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3880 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1531 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6745 |