| National Provider Identifier [NPI]: | 1285613570 |
| Last Name Of The Provider | TUBBS |
| First Name Of The Provider | CHARLES |
| Middle Initial Of The Provider | O |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 222 N LAFAYETTE ST |
| Street Address 2 Of The Provider | SUITE 01 |
| City Of The Provider | SHELBY |
| Zip Code Of The Provider | 281504444 |
| 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 | 202 |
| Number Of Services | 7741 |
| Number Of Medicare Beneficiaries | 3857 |
| Total Submitted Charge Amount | 249257.73 |
| Total Medicare Allowed Amount | 226035.69 |
| Total Medicare Payment Amount | 178363.03 |
| Total Medicare Standardized Payment Amount | 187937.14 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 202 |
| Number Of Medical Services | 7741 |
| Number Of Medicare Beneficiaries With Medical Services | 3857 |
| Total Medical Submitted Charge Amount | 249257.73 |
| Total Medical Medicare Allowed Amount | 226035.69 |
| Total Medical Medicare Payment Amount | 178363.03 |
| Total Medical Medicare Standardized Payment Amount | 187937.14 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1047 |
| Number Of Beneficiaries Age 65 to 74 | 1345 |
| Number Of Beneficiaries Age 75 to 84 | 1001 |
| Number Of Beneficiaries Age Greater 84 | 464 |
| Number Of Female Beneficiaries | 2441 |
| Number Of Male Beneficiaries | 1416 |
| Number Of Non Hispanic White Beneficiaries | 3109 |
| Number Of Black or African American Beneficiaries | 686 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 18 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2356 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1501 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5644 |