| National Provider Identifier [NPI]: | 1861565624 |
| Last Name Of The Provider | RICHARDSON |
| First Name Of The Provider | BRIAN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1722 PINE ST |
| Street Address 2 Of The Provider | SUITE 502 |
| City Of The Provider | MONTGOMERY |
| Zip Code Of The Provider | 361061103 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 144 |
| Number Of Services | 7180 |
| Number Of Medicare Beneficiaries | 1656 |
| Total Submitted Charge Amount | 1279983.91 |
| Total Medicare Allowed Amount | 645035.11 |
| Total Medicare Payment Amount | 487658.79 |
| Total Medicare Standardized Payment Amount | 521377.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 1381 |
| Number Of Medicare Beneficiaries With Drug Services | 199 |
| Total Drug Submitted ChargeAmount | 193063.26 |
| Total Drug Medicare AllowedAmount | 125073.1 |
| Total Drug Medicare PaymentAmount | 96434.05 |
| Total Drug Medicare Standardized Payment Amount | 96434.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 131 |
| Number Of Medical Services | 5799 |
| Number Of Medicare Beneficiaries With Medical Services | 1656 |
| Total Medical Submitted Charge Amount | 1086920.65 |
| Total Medical Medicare Allowed Amount | 519962.01 |
| Total Medical Medicare Payment Amount | 391224.74 |
| Total Medical Medicare Standardized Payment Amount | 424943.2 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 168 |
| Number Of Beneficiaries Age 65 to 74 | 751 |
| Number Of Beneficiaries Age 75 to 84 | 549 |
| Number Of Beneficiaries Age Greater 84 | 188 |
| Number Of Female Beneficiaries | 364 |
| Number Of Male Beneficiaries | 1292 |
| Number Of Non Hispanic White Beneficiaries | 1204 |
| Number Of Black or African American Beneficiaries | 430 |
| 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 | 1497 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 159 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 24 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.1775 |