| National Provider Identifier [NPI]: | 1518934215 |
| Last Name Of The Provider | BRUNO |
| First Name Of The Provider | GREGORY |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 620 SKYLINE DRIVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 383013901 |
| 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 | 351 |
| Number Of Services | 19990 |
| Number Of Medicare Beneficiaries | 3325 |
| Total Submitted Charge Amount | 3178681.6 |
| Total Medicare Allowed Amount | 870334.61 |
| Total Medicare Payment Amount | 673951.4 |
| Total Medicare Standardized Payment Amount | 737794.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 13792 |
| Number Of Medicare Beneficiaries With Drug Services | 163 |
| Total Drug Submitted ChargeAmount | 41709.6 |
| Total Drug Medicare AllowedAmount | 6888.07 |
| Total Drug Medicare PaymentAmount | 5399.98 |
| Total Drug Medicare Standardized Payment Amount | 5399.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 349 |
| Number Of Medical Services | 6198 |
| Number Of Medicare Beneficiaries With Medical Services | 3325 |
| Total Medical Submitted Charge Amount | 3136972 |
| Total Medical Medicare Allowed Amount | 863446.54 |
| Total Medical Medicare Payment Amount | 668551.42 |
| Total Medical Medicare Standardized Payment Amount | 732394.44 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 797 |
| Number Of Beneficiaries Age 65 to 74 | 1220 |
| Number Of Beneficiaries Age 75 to 84 | 898 |
| Number Of Beneficiaries Age Greater 84 | 410 |
| Number Of Female Beneficiaries | 1817 |
| Number Of Male Beneficiaries | 1508 |
| Number Of Non Hispanic White Beneficiaries | 2612 |
| Number Of Black or African American Beneficiaries | 677 |
| 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 | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2067 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1258 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 13 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.4251 |