| National Provider Identifier [NPI]: | 1740245927 |
| Last Name Of The Provider | BORAK |
| First Name Of The Provider | HUGH |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 208 MCFARLAND CIR N |
| Street Address 2 Of The Provider | |
| City Of The Provider | TUSCALOOSA |
| Zip Code Of The Provider | 354061800 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 209 |
| Number Of Services | 14298 |
| Number Of Medicare Beneficiaries | 4610 |
| Total Submitted Charge Amount | 1072722.33 |
| Total Medicare Allowed Amount | 392460.51 |
| Total Medicare Payment Amount | 296192.12 |
| Total Medicare Standardized Payment Amount | 327387.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 6537 |
| Number Of Medicare Beneficiaries With Drug Services | 134 |
| Total Drug Submitted ChargeAmount | 4606.58 |
| Total Drug Medicare AllowedAmount | 3593.19 |
| Total Drug Medicare PaymentAmount | 2817.02 |
| Total Drug Medicare Standardized Payment Amount | 2817.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 206 |
| Number Of Medical Services | 7761 |
| Number Of Medicare Beneficiaries With Medical Services | 4608 |
| Total Medical Submitted Charge Amount | 1068115.75 |
| Total Medical Medicare Allowed Amount | 388867.32 |
| Total Medical Medicare Payment Amount | 293375.1 |
| Total Medical Medicare Standardized Payment Amount | 324570.39 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1254 |
| Number Of Beneficiaries Age 65 to 74 | 1616 |
| Number Of Beneficiaries Age 75 to 84 | 1184 |
| Number Of Beneficiaries Age Greater 84 | 556 |
| Number Of Female Beneficiaries | 2931 |
| Number Of Male Beneficiaries | 1679 |
| Number Of Non Hispanic White Beneficiaries | 3171 |
| Number Of Black or African American Beneficiaries | 1404 |
| 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 | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3234 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1376 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6144 |