| National Provider Identifier [NPI]: | 1326023789 |
| Last Name Of The Provider | MOYERS |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4220 HARDING RD |
| Street Address 2 Of The Provider | ST THOMAS HOSPITAL |
| City Of The Provider | NASHVILLE |
| Zip Code Of The Provider | 372052005 |
| 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 | 165 |
| Number Of Services | 4386 |
| Number Of Medicare Beneficiaries | 2932 |
| Total Submitted Charge Amount | 406559.25 |
| Total Medicare Allowed Amount | 129400.09 |
| Total Medicare Payment Amount | 99566.35 |
| Total Medicare Standardized Payment Amount | 106769.97 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 419 |
| Number Of Medicare Beneficiaries With Drug Services | 26 |
| Total Drug Submitted ChargeAmount | 2095 |
| Total Drug Medicare AllowedAmount | 821.91 |
| Total Drug Medicare PaymentAmount | 644.42 |
| Total Drug Medicare Standardized Payment Amount | 644.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 164 |
| Number Of Medical Services | 3967 |
| Number Of Medicare Beneficiaries With Medical Services | 2932 |
| Total Medical Submitted Charge Amount | 404464.25 |
| Total Medical Medicare Allowed Amount | 128578.18 |
| Total Medical Medicare Payment Amount | 98921.93 |
| Total Medical Medicare Standardized Payment Amount | 106125.55 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 621 |
| Number Of Beneficiaries Age 65 to 74 | 1054 |
| Number Of Beneficiaries Age 75 to 84 | 801 |
| Number Of Beneficiaries Age Greater 84 | 456 |
| Number Of Female Beneficiaries | 1718 |
| Number Of Male Beneficiaries | 1214 |
| Number Of Non Hispanic White Beneficiaries | 2525 |
| Number Of Black or African American Beneficiaries | 340 |
| Number Of AsianPacific Islander Beneficiaries | 21 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2115 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 817 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 13 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.955 |