| National Provider Identifier [NPI]: | 1992735542 |
| Last Name Of The Provider | HARVEY |
| First Name Of The Provider | RUSSELL |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1303 SW FIRST AMERICAN PL |
| Street Address 2 Of The Provider | |
| City Of The Provider | TOPEKA |
| Zip Code Of The Provider | 666044059 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 206 |
| Number Of Services | 8889 |
| Number Of Medicare Beneficiaries | 5563 |
| Total Submitted Charge Amount | 1045744.75 |
| Total Medicare Allowed Amount | 311722.99 |
| Total Medicare Payment Amount | 255341.36 |
| Total Medicare Standardized Payment Amount | 274609.09 |
| 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 | 206 |
| Number Of Medical Services | 8889 |
| Number Of Medicare Beneficiaries With Medical Services | 5563 |
| Total Medical Submitted Charge Amount | 1045744.75 |
| Total Medical Medicare Allowed Amount | 311722.99 |
| Total Medical Medicare Payment Amount | 255341.36 |
| Total Medical Medicare Standardized Payment Amount | 274609.09 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 955 |
| Number Of Beneficiaries Age 65 to 74 | 1917 |
| Number Of Beneficiaries Age 75 to 84 | 1742 |
| Number Of Beneficiaries Age Greater 84 | 949 |
| Number Of Female Beneficiaries | 3554 |
| Number Of Male Beneficiaries | 2009 |
| Number Of Non Hispanic White Beneficiaries | 4985 |
| Number Of Black or African American Beneficiaries | 298 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 159 |
| Number Of American Indian Alaska Native Beneficiaries | 51 |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4431 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1132 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4386 |