| National Provider Identifier [NPI]: | 1043258247 |
| Last Name Of The Provider | VU |
| First Name Of The Provider | LOI |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5959 PARK AVE |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 381195200 |
| 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 | 200 |
| Number Of Services | 12109 |
| Number Of Medicare Beneficiaries | 3502 |
| Total Submitted Charge Amount | 1210574.4 |
| Total Medicare Allowed Amount | 234128.94 |
| Total Medicare Payment Amount | 173236.76 |
| Total Medicare Standardized Payment Amount | 192036.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 6730 |
| Number Of Medicare Beneficiaries With Drug Services | 88 |
| Total Drug Submitted ChargeAmount | 13202.4 |
| Total Drug Medicare AllowedAmount | 2475.22 |
| Total Drug Medicare PaymentAmount | 1886.25 |
| Total Drug Medicare Standardized Payment Amount | 1886.25 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 194 |
| Number Of Medical Services | 5379 |
| Number Of Medicare Beneficiaries With Medical Services | 3502 |
| Total Medical Submitted Charge Amount | 1197372 |
| Total Medical Medicare Allowed Amount | 231653.72 |
| Total Medical Medicare Payment Amount | 171350.51 |
| Total Medical Medicare Standardized Payment Amount | 190150.37 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 824 |
| Number Of Beneficiaries Age 65 to 74 | 1293 |
| Number Of Beneficiaries Age 75 to 84 | 895 |
| Number Of Beneficiaries Age Greater 84 | 490 |
| Number Of Female Beneficiaries | 2260 |
| Number Of Male Beneficiaries | 1242 |
| Number Of Non Hispanic White Beneficiaries | 2278 |
| Number Of Black or African American Beneficiaries | 1153 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2426 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1076 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8128 |