| National Provider Identifier [NPI]: | 1144203134 |
| Last Name Of The Provider | FRY |
| First Name Of The Provider | PAUL |
| 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 | 2006 FRANKLIN ST SE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | HUNTSVILLE |
| Zip Code Of The Provider | 358014551 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 228 |
| Number Of Services | 9422 |
| Number Of Medicare Beneficiaries | 5383 |
| Total Submitted Charge Amount | 639938.45 |
| Total Medicare Allowed Amount | 263898.86 |
| Total Medicare Payment Amount | 202061.85 |
| Total Medicare Standardized Payment Amount | 216446.83 |
| Drug Suppress Indicator | * |
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| Medical SuppressIndicator | # |
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| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1066 |
| Number Of Beneficiaries Age 65 to 74 | 1975 |
| Number Of Beneficiaries Age 75 to 84 | 1640 |
| Number Of Beneficiaries Age Greater 84 | 702 |
| Number Of Female Beneficiaries | 3361 |
| Number Of Male Beneficiaries | 2022 |
| Number Of Non Hispanic White Beneficiaries | 4648 |
| Number Of Black or African American Beneficiaries | 647 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 32 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3973 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1410 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5764 |