| National Provider Identifier [NPI]: | 1356324586 |
| Last Name Of The Provider | BAKER |
| First Name Of The Provider | TIMOTHY |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2006 FRANKLIN ST SE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | HUNTSVILLE |
| Zip Code Of The Provider | 358014551 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 208 |
| Number Of Services | 37609 |
| Number Of Medicare Beneficiaries | 6300 |
| Total Submitted Charge Amount | 2349305.81 |
| Total Medicare Allowed Amount | 957529.94 |
| Total Medicare Payment Amount | 739069.81 |
| Total Medicare Standardized Payment Amount | 783759.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 27142 |
| Number Of Medicare Beneficiaries With Drug Services | 322 |
| Total Drug Submitted ChargeAmount | 29968 |
| Total Drug Medicare AllowedAmount | 6647.9 |
| Total Drug Medicare PaymentAmount | 5137.3 |
| Total Drug Medicare Standardized Payment Amount | 5137.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 206 |
| Number Of Medical Services | 10467 |
| Number Of Medicare Beneficiaries With Medical Services | 6300 |
| Total Medical Submitted Charge Amount | 2319337.81 |
| Total Medical Medicare Allowed Amount | 950882.04 |
| Total Medical Medicare Payment Amount | 733932.51 |
| Total Medical Medicare Standardized Payment Amount | 778621.88 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1098 |
| Number Of Beneficiaries Age 65 to 74 | 2342 |
| Number Of Beneficiaries Age 75 to 84 | 2049 |
| Number Of Beneficiaries Age Greater 84 | 811 |
| Number Of Female Beneficiaries | 3760 |
| Number Of Male Beneficiaries | 2540 |
| Number Of Non Hispanic White Beneficiaries | 5305 |
| Number Of Black or African American Beneficiaries | 864 |
| Number Of AsianPacific Islander Beneficiaries | 42 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4896 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1404 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7685 |