| National Provider Identifier [NPI]: | 1467499608 |
| Last Name Of The Provider | D'ALESSIO |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1331 NORTH ELM STREET |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | GREENSBORO |
| Zip Code Of The Provider | 274016304 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 156 |
| Number Of Services | 6984 |
| Number Of Medicare Beneficiaries | 3402 |
| Total Submitted Charge Amount | 707587.35 |
| Total Medicare Allowed Amount | 177598.75 |
| Total Medicare Payment Amount | 133110.14 |
| Total Medicare Standardized Payment Amount | 141361.14 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2423 |
| Number Of Medicare Beneficiaries With Drug Services | 46 |
| Total Drug Submitted ChargeAmount | 1963.35 |
| Total Drug Medicare AllowedAmount | 1071.61 |
| Total Drug Medicare PaymentAmount | 840.15 |
| Total Drug Medicare Standardized Payment Amount | 840.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 153 |
| Number Of Medical Services | 4561 |
| Number Of Medicare Beneficiaries With Medical Services | 3402 |
| Total Medical Submitted Charge Amount | 705624 |
| Total Medical Medicare Allowed Amount | 176527.14 |
| Total Medical Medicare Payment Amount | 132269.99 |
| Total Medical Medicare Standardized Payment Amount | 140520.99 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 914 |
| Number Of Beneficiaries Age 65 to 74 | 1048 |
| Number Of Beneficiaries Age 75 to 84 | 887 |
| Number Of Beneficiaries Age Greater 84 | 553 |
| Number Of Female Beneficiaries | 1988 |
| Number Of Male Beneficiaries | 1414 |
| Number Of Non Hispanic White Beneficiaries | 2576 |
| Number Of Black or African American Beneficiaries | 748 |
| Number Of AsianPacific Islander Beneficiaries | 27 |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2238 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1164 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.8671 |