| National Provider Identifier [NPI]: | 1780891150 |
| Last Name Of The Provider | PEEPLES |
| First Name Of The Provider | RAYMOND |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9601 BAPTIST HEALTH DR |
| Street Address 2 Of The Provider | MEDICAL TOWER 1, 11TH FLOOR |
| City Of The Provider | LITTLE ROCK |
| Zip Code Of The Provider | 722056321 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 164 |
| Number Of Services | 8300 |
| Number Of Medicare Beneficiaries | 5861 |
| Total Submitted Charge Amount | 1010361.5 |
| Total Medicare Allowed Amount | 264198.96 |
| Total Medicare Payment Amount | 195922.83 |
| Total Medicare Standardized Payment Amount | 214140.73 |
| 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 | 164 |
| Number Of Medical Services | 8300 |
| Number Of Medicare Beneficiaries With Medical Services | 5861 |
| Total Medical Submitted Charge Amount | 1010361.5 |
| Total Medical Medicare Allowed Amount | 264198.96 |
| Total Medical Medicare Payment Amount | 195922.83 |
| Total Medical Medicare Standardized Payment Amount | 214140.73 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1173 |
| Number Of Beneficiaries Age 65 to 74 | 2190 |
| Number Of Beneficiaries Age 75 to 84 | 1654 |
| Number Of Beneficiaries Age Greater 84 | 844 |
| Number Of Female Beneficiaries | 3621 |
| Number Of Male Beneficiaries | 2240 |
| Number Of Non Hispanic White Beneficiaries | 4938 |
| Number Of Black or African American Beneficiaries | 818 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 39 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4477 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1384 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6128 |