| National Provider Identifier [NPI]: | 1063634293 |
| Last Name Of The Provider | DURHAM |
| First Name Of The Provider | TODD |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 205 MARENGO ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | FLORENCE |
| Zip Code Of The Provider | 356306033 |
| 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 | 235 |
| Number Of Services | 12550 |
| Number Of Medicare Beneficiaries | 5904 |
| Total Submitted Charge Amount | 1332952 |
| Total Medicare Allowed Amount | 367975.29 |
| Total Medicare Payment Amount | 284032.86 |
| Total Medicare Standardized Payment Amount | 305421.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 235 |
| Number Of Medical Services | 12550 |
| Number Of Medicare Beneficiaries With Medical Services | 5904 |
| Total Medical Submitted Charge Amount | 1332952 |
| Total Medical Medicare Allowed Amount | 367975.29 |
| Total Medical Medicare Payment Amount | 284032.86 |
| Total Medical Medicare Standardized Payment Amount | 305421.64 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1295 |
| Number Of Beneficiaries Age 65 to 74 | 2285 |
| Number Of Beneficiaries Age 75 to 84 | 1676 |
| Number Of Beneficiaries Age Greater 84 | 648 |
| Number Of Female Beneficiaries | 3718 |
| Number Of Male Beneficiaries | 2186 |
| Number Of Non Hispanic White Beneficiaries | 5357 |
| Number Of Black or African American Beneficiaries | 481 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4245 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1659 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3783 |