| National Provider Identifier [NPI]: | 1902832553 |
| Last Name Of The Provider | AVERION-MAHLOCH |
| First Name Of The Provider | TIMOTHY |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1221 S BROADWAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | LEXINGTON |
| Zip Code Of The Provider | 405042701 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 123 |
| Number Of Services | 30607 |
| Number Of Medicare Beneficiaries | 4561 |
| Total Submitted Charge Amount | 3741005 |
| Total Medicare Allowed Amount | 784204.71 |
| Total Medicare Payment Amount | 585024.63 |
| Total Medicare Standardized Payment Amount | 670098.76 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 21710 |
| Number Of Medicare Beneficiaries With Drug Services | 642 |
| Total Drug Submitted ChargeAmount | 167211 |
| Total Drug Medicare AllowedAmount | 18535.83 |
| Total Drug Medicare PaymentAmount | 14247.33 |
| Total Drug Medicare Standardized Payment Amount | 14247.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 117 |
| Number Of Medical Services | 8897 |
| Number Of Medicare Beneficiaries With Medical Services | 4561 |
| Total Medical Submitted Charge Amount | 3573794 |
| Total Medical Medicare Allowed Amount | 765668.88 |
| Total Medical Medicare Payment Amount | 570777.3 |
| Total Medical Medicare Standardized Payment Amount | 655851.43 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 787 |
| Number Of Beneficiaries Age 65 to 74 | 1985 |
| Number Of Beneficiaries Age 75 to 84 | 1297 |
| Number Of Beneficiaries Age Greater 84 | 492 |
| Number Of Female Beneficiaries | 2938 |
| Number Of Male Beneficiaries | 1623 |
| Number Of Non Hispanic White Beneficiaries | 4201 |
| Number Of Black or African American Beneficiaries | 259 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 32 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3830 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 731 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 60 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1119 |