| National Provider Identifier [NPI]: | 1720193105 |
| Last Name Of The Provider | LEWIS |
| First Name Of The Provider | ERROL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6019 WALNUT GROVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 38120 |
| 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 | 152 |
| Number Of Services | 7763 |
| Number Of Medicare Beneficiaries | 5137 |
| Total Submitted Charge Amount | 824268 |
| Total Medicare Allowed Amount | 205423.35 |
| Total Medicare Payment Amount | 154555.39 |
| Total Medicare Standardized Payment Amount | 165846.89 |
| 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 | 152 |
| Number Of Medical Services | 7763 |
| Number Of Medicare Beneficiaries With Medical Services | 5137 |
| Total Medical Submitted Charge Amount | 824268 |
| Total Medical Medicare Allowed Amount | 205423.35 |
| Total Medical Medicare Payment Amount | 154555.39 |
| Total Medical Medicare Standardized Payment Amount | 165846.89 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 968 |
| Number Of Beneficiaries Age 65 to 74 | 1844 |
| Number Of Beneficiaries Age 75 to 84 | 1550 |
| Number Of Beneficiaries Age Greater 84 | 775 |
| Number Of Female Beneficiaries | 3106 |
| Number Of Male Beneficiaries | 2031 |
| Number Of Non Hispanic White Beneficiaries | 3757 |
| Number Of Black or African American Beneficiaries | 1288 |
| 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 | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3701 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1436 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.0283 |