| National Provider Identifier [NPI]: | 1114184298 |
| Last Name Of The Provider | TONKIN |
| First Name Of The Provider | KEITH |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6019 WALNUT GROVE RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 381202113 |
| 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 | 193 |
| Number Of Services | 8537 |
| Number Of Medicare Beneficiaries | 5691 |
| Total Submitted Charge Amount | 1144944 |
| Total Medicare Allowed Amount | 288363.02 |
| Total Medicare Payment Amount | 216794.52 |
| Total Medicare Standardized Payment Amount | 232574.56 |
| 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 | 193 |
| Number Of Medical Services | 8537 |
| Number Of Medicare Beneficiaries With Medical Services | 5691 |
| Total Medical Submitted Charge Amount | 1144944 |
| Total Medical Medicare Allowed Amount | 288363.02 |
| Total Medical Medicare Payment Amount | 216794.52 |
| Total Medical Medicare Standardized Payment Amount | 232574.56 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1079 |
| Number Of Beneficiaries Age 65 to 74 | 2071 |
| Number Of Beneficiaries Age 75 to 84 | 1708 |
| Number Of Beneficiaries Age Greater 84 | 833 |
| Number Of Female Beneficiaries | 3270 |
| Number Of Male Beneficiaries | 2421 |
| Number Of Non Hispanic White Beneficiaries | 4154 |
| Number Of Black or African American Beneficiaries | 1441 |
| Number Of AsianPacific Islander Beneficiaries | 35 |
| Number Of Hispanic Beneficiaries | 30 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4151 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1540 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.0685 |