| National Provider Identifier [NPI]: | 1538105838 |
| Last Name Of The Provider | SIMMONS |
| First Name Of The Provider | JULIAN |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 192 |
| Number Of Services | 34109 |
| Number Of Medicare Beneficiaries | 5096 |
| Total Submitted Charge Amount | 2171663.57 |
| Total Medicare Allowed Amount | 631227.1 |
| Total Medicare Payment Amount | 474775.12 |
| Total Medicare Standardized Payment Amount | 452331.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 26965 |
| Number Of Medicare Beneficiaries With Drug Services | 365 |
| Total Drug Submitted ChargeAmount | 11487.77 |
| Total Drug Medicare AllowedAmount | 8498.87 |
| Total Drug Medicare PaymentAmount | 5900.05 |
| Total Drug Medicare Standardized Payment Amount | 5900.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 189 |
| Number Of Medical Services | 7144 |
| Number Of Medicare Beneficiaries With Medical Services | 5096 |
| Total Medical Submitted Charge Amount | 2160175.8 |
| Total Medical Medicare Allowed Amount | 622728.23 |
| Total Medical Medicare Payment Amount | 468875.07 |
| Total Medical Medicare Standardized Payment Amount | 446431.57 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 645 |
| Number Of Beneficiaries Age 65 to 74 | 2053 |
| Number Of Beneficiaries Age 75 to 84 | 1552 |
| Number Of Beneficiaries Age Greater 84 | 846 |
| Number Of Female Beneficiaries | 3173 |
| Number Of Male Beneficiaries | 1923 |
| Number Of Non Hispanic White Beneficiaries | 4277 |
| Number Of Black or African American Beneficiaries | 622 |
| Number Of AsianPacific Islander Beneficiaries | 63 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 70 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4430 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 666 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.4989 |