| National Provider Identifier [NPI]: | 1447299698 |
| Last Name Of The Provider | HUGGETT |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3024 BUSINESS PARK CIR |
| Street Address 2 Of The Provider | |
| City Of The Provider | GOODLETTSVILLE |
| Zip Code Of The Provider | 370723132 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 185 |
| Number Of Services | 15310 |
| Number Of Medicare Beneficiaries | 3373 |
| Total Submitted Charge Amount | 1856469.3 |
| Total Medicare Allowed Amount | 288514.76 |
| Total Medicare Payment Amount | 218872.51 |
| Total Medicare Standardized Payment Amount | 240831.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 9088 |
| Number Of Medicare Beneficiaries With Drug Services | 129 |
| Total Drug Submitted ChargeAmount | 2536.24 |
| Total Drug Medicare AllowedAmount | 1952.69 |
| Total Drug Medicare PaymentAmount | 1471.19 |
| Total Drug Medicare Standardized Payment Amount | 1471.19 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 175 |
| Number Of Medical Services | 6222 |
| Number Of Medicare Beneficiaries With Medical Services | 3371 |
| Total Medical Submitted Charge Amount | 1853933.06 |
| Total Medical Medicare Allowed Amount | 286562.07 |
| Total Medical Medicare Payment Amount | 217401.32 |
| Total Medical Medicare Standardized Payment Amount | 239360.7 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 760 |
| Number Of Beneficiaries Age 65 to 74 | 1297 |
| Number Of Beneficiaries Age 75 to 84 | 920 |
| Number Of Beneficiaries Age Greater 84 | 396 |
| Number Of Female Beneficiaries | 2099 |
| Number Of Male Beneficiaries | 1274 |
| Number Of Non Hispanic White Beneficiaries | 2910 |
| Number Of Black or African American Beneficiaries | 390 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 25 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2571 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 802 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 60 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5567 |