| National Provider Identifier [NPI]: | 1225249303 |
| Last Name Of The Provider | SCIPIONE |
| First Name Of The Provider | TERENCE |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2020 PALOMINO LANE |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 891064894 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 185 |
| Number Of Services | 12773 |
| Number Of Medicare Beneficiaries | 3452 |
| Total Submitted Charge Amount | 1031487 |
| Total Medicare Allowed Amount | 239270.85 |
| Total Medicare Payment Amount | 183039.86 |
| Total Medicare Standardized Payment Amount | 181459.98 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 7853 |
| Number Of Medicare Beneficiaries With Drug Services | 89 |
| Total Drug Submitted ChargeAmount | 20440.56 |
| Total Drug Medicare AllowedAmount | 2190.39 |
| Total Drug Medicare PaymentAmount | 1698.39 |
| Total Drug Medicare Standardized Payment Amount | 1698.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 181 |
| Number Of Medical Services | 4920 |
| Number Of Medicare Beneficiaries With Medical Services | 3450 |
| Total Medical Submitted Charge Amount | 1011046.44 |
| Total Medical Medicare Allowed Amount | 237080.46 |
| Total Medical Medicare Payment Amount | 181341.47 |
| Total Medical Medicare Standardized Payment Amount | 179761.59 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 711 |
| Number Of Beneficiaries Age 65 to 74 | 1349 |
| Number Of Beneficiaries Age 75 to 84 | 962 |
| Number Of Beneficiaries Age Greater 84 | 430 |
| Number Of Female Beneficiaries | 1940 |
| Number Of Male Beneficiaries | 1512 |
| Number Of Non Hispanic White Beneficiaries | 2440 |
| Number Of Black or African American Beneficiaries | 444 |
| Number Of AsianPacific Islander Beneficiaries | 160 |
| Number Of Hispanic Beneficiaries | 343 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2488 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 964 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.9617 |