| National Provider Identifier [NPI]: | 1558346205 |
| Last Name Of The Provider | ADAMS |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1825 PARK PL |
| Street Address 2 Of The Provider | |
| City Of The Provider | MONTGOMERY |
| Zip Code Of The Provider | 361061149 |
| 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 | 206 |
| Number Of Services | 10127 |
| Number Of Medicare Beneficiaries | 5361 |
| Total Submitted Charge Amount | 957678 |
| Total Medicare Allowed Amount | 261418.53 |
| Total Medicare Payment Amount | 197657.26 |
| Total Medicare Standardized Payment Amount | 211749.83 |
| 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 | 206 |
| Number Of Medical Services | 10127 |
| Number Of Medicare Beneficiaries With Medical Services | 5361 |
| Total Medical Submitted Charge Amount | 957678 |
| Total Medical Medicare Allowed Amount | 261418.53 |
| Total Medical Medicare Payment Amount | 197657.26 |
| Total Medical Medicare Standardized Payment Amount | 211749.83 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1217 |
| Number Of Beneficiaries Age 65 to 74 | 1803 |
| Number Of Beneficiaries Age 75 to 84 | 1562 |
| Number Of Beneficiaries Age Greater 84 | 779 |
| Number Of Female Beneficiaries | 3388 |
| Number Of Male Beneficiaries | 1973 |
| Number Of Non Hispanic White Beneficiaries | 3854 |
| Number Of Black or African American Beneficiaries | 1448 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3649 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1712 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.4885 |