| National Provider Identifier [NPI]: | 1346421369 |
| Last Name Of The Provider | THOMPSON |
| First Name Of The Provider | SCOTT |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 619 19TH ST S |
| Street Address 2 Of The Provider | |
| City Of The Provider | BIRMINGHAM |
| Zip Code Of The Provider | 352491900 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 204 |
| Number Of Services | 11372 |
| Number Of Medicare Beneficiaries | 3826 |
| Total Submitted Charge Amount | 1032331.3 |
| Total Medicare Allowed Amount | 247225.65 |
| Total Medicare Payment Amount | 193539.71 |
| Total Medicare Standardized Payment Amount | 212281.73 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 5231 |
| Number Of Medicare Beneficiaries With Drug Services | 68 |
| Total Drug Submitted ChargeAmount | 4999.3 |
| Total Drug Medicare AllowedAmount | 1210.29 |
| Total Drug Medicare PaymentAmount | 937.36 |
| Total Drug Medicare Standardized Payment Amount | 937.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 201 |
| Number Of Medical Services | 6141 |
| Number Of Medicare Beneficiaries With Medical Services | 3826 |
| Total Medical Submitted Charge Amount | 1027332 |
| Total Medical Medicare Allowed Amount | 246015.36 |
| Total Medical Medicare Payment Amount | 192602.35 |
| Total Medical Medicare Standardized Payment Amount | 211344.37 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 756 |
| Number Of Beneficiaries Age 65 to 74 | 1283 |
| Number Of Beneficiaries Age 75 to 84 | 1138 |
| Number Of Beneficiaries Age Greater 84 | 649 |
| Number Of Female Beneficiaries | 2380 |
| Number Of Male Beneficiaries | 1446 |
| Number Of Non Hispanic White Beneficiaries | 3465 |
| Number Of Black or African American Beneficiaries | 323 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2905 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 921 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5952 |