| National Provider Identifier [NPI]: | 1588754535 |
| Last Name Of The Provider | WELLS |
| First Name Of The Provider | PAMELA |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 700 W FOREST AVE |
| Street Address 2 Of The Provider | STE 300 |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 383013937 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 94 |
| Number Of Services | 16376 |
| Number Of Medicare Beneficiaries | 6201 |
| Total Submitted Charge Amount | 1399604.5 |
| Total Medicare Allowed Amount | 597446.71 |
| Total Medicare Payment Amount | 502036.76 |
| Total Medicare Standardized Payment Amount | 558678.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5405 |
| Number Of Medicare Beneficiaries With Drug Services | 51 |
| Total Drug Submitted ChargeAmount | 14639.5 |
| Total Drug Medicare AllowedAmount | 1338.91 |
| Total Drug Medicare PaymentAmount | 955.4 |
| Total Drug Medicare Standardized Payment Amount | 955.4 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 92 |
| Number Of Medical Services | 10971 |
| Number Of Medicare Beneficiaries With Medical Services | 6200 |
| Total Medical Submitted Charge Amount | 1384965 |
| Total Medical Medicare Allowed Amount | 596107.8 |
| Total Medical Medicare Payment Amount | 501081.36 |
| Total Medical Medicare Standardized Payment Amount | 557722.62 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 701 |
| Number Of Beneficiaries Age 65 to 74 | 2859 |
| Number Of Beneficiaries Age 75 to 84 | 1953 |
| Number Of Beneficiaries Age Greater 84 | 688 |
| Number Of Female Beneficiaries | 4361 |
| Number Of Male Beneficiaries | 1840 |
| Number Of Non Hispanic White Beneficiaries | 5454 |
| Number Of Black or African American Beneficiaries | 676 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5260 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 941 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.1512 |