| National Provider Identifier [NPI]: | 1083601447 |
| Last Name Of The Provider | TURNER |
| First Name Of The Provider | SHANNON |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 500 S UNIVERSITY AVE |
| Street Address 2 Of The Provider | STE 101 |
| City Of The Provider | LITTLE ROCK |
| Zip Code Of The Provider | 722055302 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 207 |
| Number Of Services | 12365 |
| Number Of Medicare Beneficiaries | 4876 |
| Total Submitted Charge Amount | 1048230 |
| Total Medicare Allowed Amount | 373656.54 |
| Total Medicare Payment Amount | 298008.29 |
| Total Medicare Standardized Payment Amount | 332622.79 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3160 |
| Number Of Medicare Beneficiaries With Drug Services | 39 |
| Total Drug Submitted ChargeAmount | 2060 |
| Total Drug Medicare AllowedAmount | 845.76 |
| Total Drug Medicare PaymentAmount | 663.04 |
| Total Drug Medicare Standardized Payment Amount | 663.04 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 205 |
| Number Of Medical Services | 9205 |
| Number Of Medicare Beneficiaries With Medical Services | 4875 |
| Total Medical Submitted Charge Amount | 1046170 |
| Total Medical Medicare Allowed Amount | 372810.78 |
| Total Medical Medicare Payment Amount | 297345.25 |
| Total Medical Medicare Standardized Payment Amount | 331959.75 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 977 |
| Number Of Beneficiaries Age 65 to 74 | 1850 |
| Number Of Beneficiaries Age 75 to 84 | 1406 |
| Number Of Beneficiaries Age Greater 84 | 643 |
| Number Of Female Beneficiaries | 3432 |
| Number Of Male Beneficiaries | 1444 |
| Number Of Non Hispanic White Beneficiaries | 4029 |
| Number Of Black or African American Beneficiaries | 738 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3698 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1178 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.3637 |