| National Provider Identifier [NPI]: | 1922030733 |
| Last Name Of The Provider | HELLEWELL |
| First Name Of The Provider | TIMOTHY |
| 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 | 113 NATIONWIDE DRIVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | LYNCHBURG |
| Zip Code Of The Provider | 24502 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 199 |
| Number Of Services | 23377 |
| Number Of Medicare Beneficiaries | 5020 |
| Total Submitted Charge Amount | 1341581.28 |
| Total Medicare Allowed Amount | 515690.25 |
| Total Medicare Payment Amount | 387368.21 |
| Total Medicare Standardized Payment Amount | 395987.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 15817 |
| Number Of Medicare Beneficiaries With Drug Services | 180 |
| Total Drug Submitted ChargeAmount | 9454.28 |
| Total Drug Medicare AllowedAmount | 3908.65 |
| Total Drug Medicare PaymentAmount | 3054.45 |
| Total Drug Medicare Standardized Payment Amount | 3054.45 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 196 |
| Number Of Medical Services | 7560 |
| Number Of Medicare Beneficiaries With Medical Services | 5020 |
| Total Medical Submitted Charge Amount | 1332127 |
| Total Medical Medicare Allowed Amount | 511781.6 |
| Total Medical Medicare Payment Amount | 384313.76 |
| Total Medical Medicare Standardized Payment Amount | 392933.07 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 943 |
| Number Of Beneficiaries Age 65 to 74 | 1701 |
| Number Of Beneficiaries Age 75 to 84 | 1569 |
| Number Of Beneficiaries Age Greater 84 | 807 |
| Number Of Female Beneficiaries | 2944 |
| Number Of Male Beneficiaries | 2076 |
| Number Of Non Hispanic White Beneficiaries | 3942 |
| Number Of Black or African American Beneficiaries | 1005 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3605 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1415 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6483 |