| National Provider Identifier [NPI]: | 1487818696 |
| Last Name Of The Provider | ABBOTT |
| First Name Of The Provider | ROBERT |
| 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 | 2100 ERWIN RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | DURHAM |
| Zip Code Of The Provider | 277053941 |
| 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 | 224 |
| Number Of Services | 8255 |
| Number Of Medicare Beneficiaries | 4069 |
| Total Submitted Charge Amount | 1545722 |
| Total Medicare Allowed Amount | 312108.51 |
| Total Medicare Payment Amount | 239142.72 |
| Total Medicare Standardized Payment Amount | 240306.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 750 |
| Number Of Medicare Beneficiaries With Drug Services | 65 |
| Total Drug Submitted ChargeAmount | 7550 |
| Total Drug Medicare AllowedAmount | 580.33 |
| Total Drug Medicare PaymentAmount | 454.76 |
| Total Drug Medicare Standardized Payment Amount | 454.76 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 221 |
| Number Of Medical Services | 7505 |
| Number Of Medicare Beneficiaries With Medical Services | 4069 |
| Total Medical Submitted Charge Amount | 1538172 |
| Total Medical Medicare Allowed Amount | 311528.18 |
| Total Medical Medicare Payment Amount | 238687.96 |
| Total Medical Medicare Standardized Payment Amount | 239851.86 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 958 |
| Number Of Beneficiaries Age 65 to 74 | 1418 |
| Number Of Beneficiaries Age 75 to 84 | 1108 |
| Number Of Beneficiaries Age Greater 84 | 585 |
| Number Of Female Beneficiaries | 2379 |
| Number Of Male Beneficiaries | 1690 |
| Number Of Non Hispanic White Beneficiaries | 2814 |
| Number Of Black or African American Beneficiaries | 59 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 1133 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2832 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1237 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5614 |