| National Provider Identifier [NPI]: | 1154363588 |
| Last Name Of The Provider | BROADWELL |
| First Name Of The Provider | RONALD |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1900 ELECTRIC RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALEM |
| Zip Code Of The Provider | 241537474 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 186 |
| Number Of Services | 11709 |
| Number Of Medicare Beneficiaries | 4689 |
| Total Submitted Charge Amount | 1114110.1 |
| Total Medicare Allowed Amount | 296701.26 |
| Total Medicare Payment Amount | 232180.66 |
| Total Medicare Standardized Payment Amount | 241101.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3554 |
| Number Of Medicare Beneficiaries With Drug Services | 63 |
| Total Drug Submitted ChargeAmount | 7571 |
| Total Drug Medicare AllowedAmount | 1177.24 |
| Total Drug Medicare PaymentAmount | 909.35 |
| Total Drug Medicare Standardized Payment Amount | 909.35 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 184 |
| Number Of Medical Services | 8155 |
| Number Of Medicare Beneficiaries With Medical Services | 4689 |
| Total Medical Submitted Charge Amount | 1106539.1 |
| Total Medical Medicare Allowed Amount | 295524.02 |
| Total Medical Medicare Payment Amount | 231271.31 |
| Total Medical Medicare Standardized Payment Amount | 240192.28 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 681 |
| Number Of Beneficiaries Age 65 to 74 | 1763 |
| Number Of Beneficiaries Age 75 to 84 | 1442 |
| Number Of Beneficiaries Age Greater 84 | 803 |
| Number Of Female Beneficiaries | 3107 |
| Number Of Male Beneficiaries | 1582 |
| Number Of Non Hispanic White Beneficiaries | 4221 |
| Number Of Black or African American Beneficiaries | 394 |
| Number Of AsianPacific Islander Beneficiaries | 24 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3880 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 809 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.3862 |