| National Provider Identifier [NPI]: | 1063463529 |
| Last Name Of The Provider | STEVENS |
| First Name Of The Provider | RAYMONDA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1218 SOUTH BROADWAY |
| Street Address 2 Of The Provider | SUITE 310 |
| City Of The Provider | LEXINGTON |
| Zip Code Of The Provider | 405042759 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 148 |
| Number Of Services | 14367 |
| Number Of Medicare Beneficiaries | 9196 |
| Total Submitted Charge Amount | 2029778 |
| Total Medicare Allowed Amount | 551643.97 |
| Total Medicare Payment Amount | 413025.58 |
| Total Medicare Standardized Payment Amount | 437755.95 |
| 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 | 148 |
| Number Of Medical Services | 14367 |
| Number Of Medicare Beneficiaries With Medical Services | 9196 |
| Total Medical Submitted Charge Amount | 2029778 |
| Total Medical Medicare Allowed Amount | 551643.97 |
| Total Medical Medicare Payment Amount | 413025.58 |
| Total Medical Medicare Standardized Payment Amount | 437755.95 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 2460 |
| Number Of Beneficiaries Age 65 to 74 | 2969 |
| Number Of Beneficiaries Age 75 to 84 | 2396 |
| Number Of Beneficiaries Age Greater 84 | 1371 |
| Number Of Female Beneficiaries | 5757 |
| Number Of Male Beneficiaries | 3439 |
| Number Of Non Hispanic White Beneficiaries | 8702 |
| Number Of Black or African American Beneficiaries | 378 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 46 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5620 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3576 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6981 |