| National Provider Identifier [NPI]: | 1497787485 |
| Last Name Of The Provider | GUNDERMAN |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 445 HARLOW RD |
| Street Address 2 Of The Provider | SUITE #200 |
| City Of The Provider | SPRINGFIELD |
| Zip Code Of The Provider | 974771346 |
| State Code Of The Provider | OR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 181 |
| Number Of Services | 17991 |
| Number Of Medicare Beneficiaries | 4298 |
| Total Submitted Charge Amount | 1351976.65 |
| Total Medicare Allowed Amount | 378658.28 |
| Total Medicare Payment Amount | 300538.91 |
| Total Medicare Standardized Payment Amount | 312087.22 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 9842 |
| Number Of Medicare Beneficiaries With Drug Services | 108 |
| Total Drug Submitted ChargeAmount | 31583 |
| Total Drug Medicare AllowedAmount | 2538.93 |
| Total Drug Medicare PaymentAmount | 1922.75 |
| Total Drug Medicare Standardized Payment Amount | 1922.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 175 |
| Number Of Medical Services | 8149 |
| Number Of Medicare Beneficiaries With Medical Services | 4298 |
| Total Medical Submitted Charge Amount | 1320393.65 |
| Total Medical Medicare Allowed Amount | 376119.35 |
| Total Medical Medicare Payment Amount | 298616.16 |
| Total Medical Medicare Standardized Payment Amount | 310164.47 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 739 |
| Number Of Beneficiaries Age 65 to 74 | 1806 |
| Number Of Beneficiaries Age 75 to 84 | 1182 |
| Number Of Beneficiaries Age Greater 84 | 571 |
| Number Of Female Beneficiaries | 2674 |
| Number Of Male Beneficiaries | 1624 |
| Number Of Non Hispanic White Beneficiaries | 4013 |
| Number Of Black or African American Beneficiaries | 25 |
| Number Of AsianPacific Islander Beneficiaries | 47 |
| Number Of Hispanic Beneficiaries | 87 |
| Number Of American Indian Alaska Native Beneficiaries | 88 |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3271 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1027 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3131 |