| National Provider Identifier [NPI]: | 1508861287 |
| Last Name Of The Provider | BAKER |
| First Name Of The Provider | THEODORE |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 50 MEDICAL PARK DR E |
| Street Address 2 Of The Provider | |
| City Of The Provider | BIRMINGHAM |
| Zip Code Of The Provider | 352353401 |
| 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 | 207 |
| Number Of Services | 11686 |
| Number Of Medicare Beneficiaries | 4132 |
| Total Submitted Charge Amount | 990394 |
| Total Medicare Allowed Amount | 247369.86 |
| Total Medicare Payment Amount | 195132.31 |
| Total Medicare Standardized Payment Amount | 212886.88 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 4905 |
| Number Of Medicare Beneficiaries With Drug Services | 59 |
| Total Drug Submitted ChargeAmount | 4869 |
| Total Drug Medicare AllowedAmount | 1100.35 |
| Total Drug Medicare PaymentAmount | 862.75 |
| Total Drug Medicare Standardized Payment Amount | 862.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 204 |
| Number Of Medical Services | 6781 |
| Number Of Medicare Beneficiaries With Medical Services | 4131 |
| Total Medical Submitted Charge Amount | 985525 |
| Total Medical Medicare Allowed Amount | 246269.51 |
| Total Medical Medicare Payment Amount | 194269.56 |
| Total Medical Medicare Standardized Payment Amount | 212024.13 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 838 |
| Number Of Beneficiaries Age 65 to 74 | 1389 |
| Number Of Beneficiaries Age 75 to 84 | 1251 |
| Number Of Beneficiaries Age Greater 84 | 654 |
| Number Of Female Beneficiaries | 2548 |
| Number Of Male Beneficiaries | 1584 |
| Number Of Non Hispanic White Beneficiaries | 3731 |
| Number Of Black or African American Beneficiaries | 346 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 21 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3135 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 997 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5886 |