| National Provider Identifier [NPI]: | 1710926209 |
| Last Name Of The Provider | THOMPSON |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2602 BUFORD RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | RICHMOND |
| Zip Code Of The Provider | 232353422 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 198 |
| Number Of Services | 9765 |
| Number Of Medicare Beneficiaries | 4677 |
| Total Submitted Charge Amount | 779590.65 |
| Total Medicare Allowed Amount | 205795.78 |
| Total Medicare Payment Amount | 156727.74 |
| Total Medicare Standardized Payment Amount | 160750.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3570 |
| Number Of Medicare Beneficiaries With Drug Services | 36 |
| Total Drug Submitted ChargeAmount | 5323 |
| Total Drug Medicare AllowedAmount | 701.02 |
| Total Drug Medicare PaymentAmount | 549.53 |
| Total Drug Medicare Standardized Payment Amount | 549.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 196 |
| Number Of Medical Services | 6195 |
| Number Of Medicare Beneficiaries With Medical Services | 4677 |
| Total Medical Submitted Charge Amount | 774267.65 |
| Total Medical Medicare Allowed Amount | 205094.76 |
| Total Medical Medicare Payment Amount | 156178.21 |
| Total Medical Medicare Standardized Payment Amount | 160200.64 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 785 |
| Number Of Beneficiaries Age 65 to 74 | 1724 |
| Number Of Beneficiaries Age 75 to 84 | 1382 |
| Number Of Beneficiaries Age Greater 84 | 786 |
| Number Of Female Beneficiaries | 2826 |
| Number Of Male Beneficiaries | 1851 |
| Number Of Non Hispanic White Beneficiaries | 3423 |
| Number Of Black or African American Beneficiaries | 1117 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 54 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3744 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 933 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6849 |