| National Provider Identifier [NPI]: | 1902851025 |
| Last Name Of The Provider | FARQUHAR |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D., PHD. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 85 SEYMOUR ST |
| Street Address 2 Of The Provider | SUITE 2044 |
| City Of The Provider | HARTFORD |
| Zip Code Of The Provider | 061065501 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 195 |
| Number Of Services | 12529 |
| Number Of Medicare Beneficiaries | 3329 |
| Total Submitted Charge Amount | 925439 |
| Total Medicare Allowed Amount | 219002.93 |
| Total Medicare Payment Amount | 167258.28 |
| Total Medicare Standardized Payment Amount | 159703.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 7475 |
| Number Of Medicare Beneficiaries With Drug Services | 87 |
| Total Drug Submitted ChargeAmount | 26985 |
| Total Drug Medicare AllowedAmount | 2155.34 |
| Total Drug Medicare PaymentAmount | 1689.74 |
| Total Drug Medicare Standardized Payment Amount | 1689.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 191 |
| Number Of Medical Services | 5054 |
| Number Of Medicare Beneficiaries With Medical Services | 3329 |
| Total Medical Submitted Charge Amount | 898454 |
| Total Medical Medicare Allowed Amount | 216847.59 |
| Total Medical Medicare Payment Amount | 165568.54 |
| Total Medical Medicare Standardized Payment Amount | 158014.04 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 661 |
| Number Of Beneficiaries Age 65 to 74 | 940 |
| Number Of Beneficiaries Age 75 to 84 | 938 |
| Number Of Beneficiaries Age Greater 84 | 790 |
| Number Of Female Beneficiaries | 1811 |
| Number Of Male Beneficiaries | 1518 |
| Number Of Non Hispanic White Beneficiaries | 2685 |
| Number Of Black or African American Beneficiaries | 195 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 359 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1954 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1375 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.036 |