| National Provider Identifier [NPI]: | 1699707398 |
| Last Name Of The Provider | SALLEE |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1265 UNION AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 381043415 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 166 |
| Number Of Services | 5457 |
| Number Of Medicare Beneficiaries | 3415 |
| Total Submitted Charge Amount | 756918.04 |
| Total Medicare Allowed Amount | 152063.26 |
| Total Medicare Payment Amount | 113989.35 |
| Total Medicare Standardized Payment Amount | 122941.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 861 |
| Number Of Medicare Beneficiaries With Drug Services | 12 |
| Total Drug Submitted ChargeAmount | 3034 |
| Total Drug Medicare AllowedAmount | 222.68 |
| Total Drug Medicare PaymentAmount | 174.57 |
| Total Drug Medicare Standardized Payment Amount | 174.57 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 164 |
| Number Of Medical Services | 4596 |
| Number Of Medicare Beneficiaries With Medical Services | 3415 |
| Total Medical Submitted Charge Amount | 753884.04 |
| Total Medical Medicare Allowed Amount | 151840.58 |
| Total Medical Medicare Payment Amount | 113814.78 |
| Total Medical Medicare Standardized Payment Amount | 122766.54 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 823 |
| Number Of Beneficiaries Age 65 to 74 | 1185 |
| Number Of Beneficiaries Age 75 to 84 | 906 |
| Number Of Beneficiaries Age Greater 84 | 501 |
| Number Of Female Beneficiaries | 2062 |
| Number Of Male Beneficiaries | 1353 |
| Number Of Non Hispanic White Beneficiaries | 2058 |
| Number Of Black or African American Beneficiaries | 1297 |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2323 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1092 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.173 |