| National Provider Identifier [NPI]: | 1821274721 |
| Last Name Of The Provider | ERICKSON |
| First Name Of The Provider | SARAH |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | LEE ST FL 1 |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHARLOTTESVILLE |
| Zip Code Of The Provider | 229080001 |
| 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 | 110 |
| Number Of Services | 16659 |
| Number Of Medicare Beneficiaries | 3027 |
| Total Submitted Charge Amount | 1919043.8 |
| Total Medicare Allowed Amount | 256877.69 |
| Total Medicare Payment Amount | 193934.75 |
| Total Medicare Standardized Payment Amount | 201604.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 11535 |
| Number Of Medicare Beneficiaries With Drug Services | 180 |
| Total Drug Submitted ChargeAmount | 25685.8 |
| Total Drug Medicare AllowedAmount | 3968.89 |
| Total Drug Medicare PaymentAmount | 3092.66 |
| Total Drug Medicare Standardized Payment Amount | 3092.66 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 105 |
| Number Of Medical Services | 5124 |
| Number Of Medicare Beneficiaries With Medical Services | 3027 |
| Total Medical Submitted Charge Amount | 1893358 |
| Total Medical Medicare Allowed Amount | 252908.8 |
| Total Medical Medicare Payment Amount | 190842.09 |
| Total Medical Medicare Standardized Payment Amount | 198511.81 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 775 |
| Number Of Beneficiaries Age 65 to 74 | 1168 |
| Number Of Beneficiaries Age 75 to 84 | 776 |
| Number Of Beneficiaries Age Greater 84 | 308 |
| Number Of Female Beneficiaries | 1581 |
| Number Of Male Beneficiaries | 1446 |
| Number Of Non Hispanic White Beneficiaries | 2476 |
| Number Of Black or African American Beneficiaries | 474 |
| Number Of AsianPacific Islander Beneficiaries | 24 |
| Number Of Hispanic Beneficiaries | 17 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2170 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 857 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 2.0177 |