| National Provider Identifier [NPI]: | 1891743373 |
| Last Name Of The Provider | GRIGGS |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3600 NW 138TH ST |
| Street Address 2 Of The Provider | SUITE 102 |
| City Of The Provider | OKLAHOMA CITY |
| Zip Code Of The Provider | 731342503 |
| State Code Of The Provider | OK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 216 |
| Number Of Services | 9110 |
| Number Of Medicare Beneficiaries | 5857 |
| Total Submitted Charge Amount | 2107908.1 |
| Total Medicare Allowed Amount | 342892.99 |
| Total Medicare Payment Amount | 245122.99 |
| Total Medicare Standardized Payment Amount | 263136.55 |
| 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 | 216 |
| Number Of Medical Services | 9110 |
| Number Of Medicare Beneficiaries With Medical Services | 5857 |
| Total Medical Submitted Charge Amount | 2107908.1 |
| Total Medical Medicare Allowed Amount | 342892.99 |
| Total Medical Medicare Payment Amount | 245122.99 |
| Total Medical Medicare Standardized Payment Amount | 263136.55 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1102 |
| Number Of Beneficiaries Age 65 to 74 | 2442 |
| Number Of Beneficiaries Age 75 to 84 | 1647 |
| Number Of Beneficiaries Age Greater 84 | 666 |
| Number Of Female Beneficiaries | 3532 |
| Number Of Male Beneficiaries | 2325 |
| Number Of Non Hispanic White Beneficiaries | 5102 |
| Number Of Black or African American Beneficiaries | 305 |
| Number Of AsianPacific Islander Beneficiaries | 42 |
| Number Of Hispanic Beneficiaries | 147 |
| Number Of American Indian Alaska Native Beneficiaries | 213 |
| Number Of Beneficiaries With Race Not Else where Classified | 48 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4582 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1275 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 60 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3267 |