| National Provider Identifier [NPI]: | 1164484614 |
| Last Name Of The Provider | BALTZ |
| First Name Of The Provider | BRAD |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9101 KANIS RD |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | LITTLE ROCK |
| Zip Code Of The Provider | 722056417 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 154 |
| Number Of Services | 447188 |
| Number Of Medicare Beneficiaries | 1925 |
| Total Submitted Charge Amount | 24964279.9 |
| Total Medicare Allowed Amount | 6879808.02 |
| Total Medicare Payment Amount | 5408166.83 |
| Total Medicare Standardized Payment Amount | 5477067.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 81 |
| Number Of Drug Services | 359907 |
| Number Of Medicare Beneficiaries With Drug Services | 663 |
| Total Drug Submitted ChargeAmount | 14806931 |
| Total Drug Medicare AllowedAmount | 4751011.27 |
| Total Drug Medicare PaymentAmount | 3671517.58 |
| Total Drug Medicare Standardized Payment Amount | 3671517.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 73 |
| Number Of Medical Services | 87281 |
| Number Of Medicare Beneficiaries With Medical Services | 1925 |
| Total Medical Submitted Charge Amount | 10157348.9 |
| Total Medical Medicare Allowed Amount | 2128796.75 |
| Total Medical Medicare Payment Amount | 1736649.25 |
| Total Medical Medicare Standardized Payment Amount | 1805549.78 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 370 |
| Number Of Beneficiaries Age 65 to 74 | 834 |
| Number Of Beneficiaries Age 75 to 84 | 528 |
| Number Of Beneficiaries Age Greater 84 | 193 |
| Number Of Female Beneficiaries | 1183 |
| Number Of Male Beneficiaries | 742 |
| Number Of Non Hispanic White Beneficiaries | 1611 |
| Number Of Black or African American Beneficiaries | 292 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1603 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 322 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 29 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 47 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5257 |