| National Provider Identifier [NPI]: | 1295725398 |
| Last Name Of The Provider | ROACH |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 SAINT CHRISTOPHER DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | ASHLAND |
| Zip Code Of The Provider | 411017034 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 218 |
| Number Of Services | 13184 |
| Number Of Medicare Beneficiaries | 6021 |
| Total Submitted Charge Amount | 1389790 |
| Total Medicare Allowed Amount | 368362.56 |
| Total Medicare Payment Amount | 286814.79 |
| Total Medicare Standardized Payment Amount | 302808.72 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 218 |
| Number Of Medical Services | 13184 |
| Number Of Medicare Beneficiaries With Medical Services | 6021 |
| Total Medical Submitted Charge Amount | 1389790 |
| Total Medical Medicare Allowed Amount | 368362.56 |
| Total Medical Medicare Payment Amount | 286814.79 |
| Total Medical Medicare Standardized Payment Amount | 302808.72 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1712 |
| Number Of Beneficiaries Age 65 to 74 | 2158 |
| Number Of Beneficiaries Age 75 to 84 | 1505 |
| Number Of Beneficiaries Age Greater 84 | 646 |
| Number Of Female Beneficiaries | 3709 |
| Number Of Male Beneficiaries | 2312 |
| Number Of Non Hispanic White Beneficiaries | 5893 |
| Number Of Black or African American Beneficiaries | 61 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3764 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2257 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4727 |