| National Provider Identifier [NPI]: | 1619926664 |
| Last Name Of The Provider | LESLIE |
| First Name Of The Provider | DEAN |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 200 ABRAHAM FLEXNER WAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | LOUISVILLE |
| Zip Code Of The Provider | 402021818 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 179 |
| Number Of Services | 6292 |
| Number Of Medicare Beneficiaries | 3923 |
| Total Submitted Charge Amount | 621815 |
| Total Medicare Allowed Amount | 166002.4 |
| Total Medicare Payment Amount | 126283.76 |
| Total Medicare Standardized Payment Amount | 134673.53 |
| 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 | 179 |
| Number Of Medical Services | 6292 |
| Number Of Medicare Beneficiaries With Medical Services | 3923 |
| Total Medical Submitted Charge Amount | 621815 |
| Total Medical Medicare Allowed Amount | 166002.4 |
| Total Medical Medicare Payment Amount | 126283.76 |
| Total Medical Medicare Standardized Payment Amount | 134673.53 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1181 |
| Number Of Beneficiaries Age 65 to 74 | 1213 |
| Number Of Beneficiaries Age 75 to 84 | 989 |
| Number Of Beneficiaries Age Greater 84 | 540 |
| Number Of Female Beneficiaries | 2263 |
| Number Of Male Beneficiaries | 1660 |
| Number Of Non Hispanic White Beneficiaries | 3175 |
| Number Of Black or African American Beneficiaries | 667 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 37 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2488 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1435 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 44 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.0856 |