| National Provider Identifier [NPI]: | 1710915061 |
| Last Name Of The Provider | MICHAEL |
| First Name Of The Provider | RONALD |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3725 CHAMPION HILLS DR |
| Street Address 2 Of The Provider | SUITE 2000 |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 381252597 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Gastroenterology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 95 |
| Number Of Services | 95598 |
| Number Of Medicare Beneficiaries | 14963 |
| Total Submitted Charge Amount | 5127788 |
| Total Medicare Allowed Amount | 1344659.16 |
| Total Medicare Payment Amount | 1281128.76 |
| Total Medicare Standardized Payment Amount | 1290161.05 |
| Drug Suppress Indicator | * |
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| Number Of Medicare Beneficiaries With Drug Services | |
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| Medical SuppressIndicator | # |
| Number Of HCPCS Associated With MedicalServices | |
| Number Of Medical Services | |
| Number Of Medicare Beneficiaries With Medical Services | |
| Total Medical Submitted Charge Amount | |
| Total Medical Medicare Allowed Amount | |
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| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1732 |
| Number Of Beneficiaries Age 65 to 74 | 7095 |
| Number Of Beneficiaries Age 75 to 84 | 4415 |
| Number Of Beneficiaries Age Greater 84 | 1721 |
| Number Of Female Beneficiaries | 9489 |
| Number Of Male Beneficiaries | 5474 |
| Number Of Non Hispanic White Beneficiaries | 10108 |
| Number Of Black or African American Beneficiaries | 4584 |
| Number Of AsianPacific Islander Beneficiaries | 78 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 120 |
| Number Of Beneficiaries With Medicare Only Entitlement | 12718 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2245 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0761 |