| National Provider Identifier [NPI]: | 1295730430 |
| Last Name Of The Provider | FALTER |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3186 VILLAGE DR 201 |
| Street Address 2 Of The Provider | |
| City Of The Provider | FAYETTEVILLE |
| Zip Code Of The Provider | 283043979 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 262 |
| Number Of Services | 7997 |
| Number Of Medicare Beneficiaries | 4824 |
| Total Submitted Charge Amount | 1570288.85 |
| Total Medicare Allowed Amount | 292897.06 |
| Total Medicare Payment Amount | 221027.48 |
| Total Medicare Standardized Payment Amount | 231232.35 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 271 |
| Number Of Medicare Beneficiaries With Drug Services | 17 |
| Total Drug Submitted ChargeAmount | 2073 |
| Total Drug Medicare AllowedAmount | 318.71 |
| Total Drug Medicare PaymentAmount | 249.91 |
| Total Drug Medicare Standardized Payment Amount | 249.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 256 |
| Number Of Medical Services | 7726 |
| Number Of Medicare Beneficiaries With Medical Services | 4824 |
| Total Medical Submitted Charge Amount | 1568215.85 |
| Total Medical Medicare Allowed Amount | 292578.35 |
| Total Medical Medicare Payment Amount | 220777.57 |
| Total Medical Medicare Standardized Payment Amount | 230982.44 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1278 |
| Number Of Beneficiaries Age 65 to 74 | 1638 |
| Number Of Beneficiaries Age 75 to 84 | 1329 |
| Number Of Beneficiaries Age Greater 84 | 579 |
| Number Of Female Beneficiaries | 2925 |
| Number Of Male Beneficiaries | 1899 |
| Number Of Non Hispanic White Beneficiaries | 2796 |
| Number Of Black or African American Beneficiaries | 1723 |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 111 |
| Number Of American Indian Alaska Native Beneficiaries | 60 |
| Number Of Beneficiaries With Race Not Else where Classified | 82 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3115 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1709 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.0044 |