| National Provider Identifier [NPI]: | 1780667055 |
| Last Name Of The Provider | SEYMOUR |
| First Name Of The Provider | HEATHER |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | EASTERN RADIOLOGISTS, INC |
| Street Address 2 Of The Provider | 2101 W ARLINGTON BLVD STE 210 |
| City Of The Provider | GREENVILLE |
| Zip Code Of The Provider | 27834 |
| 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 | 140 |
| Number Of Services | 15223 |
| Number Of Medicare Beneficiaries | 4585 |
| Total Submitted Charge Amount | 1103465.9 |
| Total Medicare Allowed Amount | 289162 |
| Total Medicare Payment Amount | 219470.97 |
| Total Medicare Standardized Payment Amount | 232453.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 9244 |
| Number Of Medicare Beneficiaries With Drug Services | 109 |
| Total Drug Submitted ChargeAmount | 90188.4 |
| Total Drug Medicare AllowedAmount | 2559.8 |
| Total Drug Medicare PaymentAmount | 1985.53 |
| Total Drug Medicare Standardized Payment Amount | 1985.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 135 |
| Number Of Medical Services | 5979 |
| Number Of Medicare Beneficiaries With Medical Services | 4585 |
| Total Medical Submitted Charge Amount | 1013277.5 |
| Total Medical Medicare Allowed Amount | 286602.2 |
| Total Medical Medicare Payment Amount | 217485.44 |
| Total Medical Medicare Standardized Payment Amount | 230468.05 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1191 |
| Number Of Beneficiaries Age 65 to 74 | 1737 |
| Number Of Beneficiaries Age 75 to 84 | 1206 |
| Number Of Beneficiaries Age Greater 84 | 451 |
| Number Of Female Beneficiaries | 2429 |
| Number Of Male Beneficiaries | 2156 |
| Number Of Non Hispanic White Beneficiaries | 2735 |
| Number Of Black or African American Beneficiaries | 1769 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2957 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1628 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.0062 |