| National Provider Identifier [NPI]: | 1043287220 |
| Last Name Of The Provider | GRAHAM |
| First Name Of The Provider | MATTHEW |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 620 SKYLINE DRIVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 383013901 |
| 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 | 338 |
| Number Of Services | 7601 |
| Number Of Medicare Beneficiaries | 4205 |
| Total Submitted Charge Amount | 1364620 |
| Total Medicare Allowed Amount | 380744.15 |
| Total Medicare Payment Amount | 292755.47 |
| Total Medicare Standardized Payment Amount | 314766.25 |
| 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 | 338 |
| Number Of Medical Services | 7601 |
| Number Of Medicare Beneficiaries With Medical Services | 4205 |
| Total Medical Submitted Charge Amount | 1364620 |
| Total Medical Medicare Allowed Amount | 380744.15 |
| Total Medical Medicare Payment Amount | 292755.47 |
| Total Medical Medicare Standardized Payment Amount | 314766.25 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 990 |
| Number Of Beneficiaries Age 65 to 74 | 1496 |
| Number Of Beneficiaries Age 75 to 84 | 1141 |
| Number Of Beneficiaries Age Greater 84 | 578 |
| Number Of Female Beneficiaries | 2374 |
| Number Of Male Beneficiaries | 1831 |
| Number Of Non Hispanic White Beneficiaries | 3318 |
| Number Of Black or African American Beneficiaries | 838 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2631 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1574 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 15 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.1171 |