| National Provider Identifier [NPI]: | 1902800980 |
| Last Name Of The Provider | LANIER |
| First Name Of The Provider | TODD |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1326 EISENHOWER DR |
| Street Address 2 Of The Provider | BLDG 1 |
| City Of The Provider | SAVANNAH |
| Zip Code Of The Provider | 314063928 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 184 |
| Number Of Services | 18006 |
| Number Of Medicare Beneficiaries | 1703 |
| Total Submitted Charge Amount | 1880557.82 |
| Total Medicare Allowed Amount | 430142.9 |
| Total Medicare Payment Amount | 325231.55 |
| Total Medicare Standardized Payment Amount | 349361.06 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 14524 |
| Number Of Medicare Beneficiaries With Drug Services | 409 |
| Total Drug Submitted ChargeAmount | 77465 |
| Total Drug Medicare AllowedAmount | 9249.02 |
| Total Drug Medicare PaymentAmount | 7026.42 |
| Total Drug Medicare Standardized Payment Amount | 7026.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 174 |
| Number Of Medical Services | 3482 |
| Number Of Medicare Beneficiaries With Medical Services | 1703 |
| Total Medical Submitted Charge Amount | 1803092.82 |
| Total Medical Medicare Allowed Amount | 420893.88 |
| Total Medical Medicare Payment Amount | 318205.13 |
| Total Medical Medicare Standardized Payment Amount | 342334.64 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 211 |
| Number Of Beneficiaries Age 65 to 74 | 854 |
| Number Of Beneficiaries Age 75 to 84 | 472 |
| Number Of Beneficiaries Age Greater 84 | 166 |
| Number Of Female Beneficiaries | 974 |
| Number Of Male Beneficiaries | 729 |
| Number Of Non Hispanic White Beneficiaries | 1311 |
| Number Of Black or African American Beneficiaries | 337 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 18 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1479 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 224 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1496 |