| National Provider Identifier [NPI]: | 1043232879 |
| Last Name Of The Provider | GORDON |
| First Name Of The Provider | JONATHAN |
| Middle Initial Of The Provider | P |
| 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 | 194 |
| Number Of Services | 26070 |
| Number Of Medicare Beneficiaries | 3853 |
| Total Submitted Charge Amount | 1862242.67 |
| Total Medicare Allowed Amount | 323675.2 |
| Total Medicare Payment Amount | 245355.09 |
| Total Medicare Standardized Payment Amount | 272358.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 19872 |
| Number Of Medicare Beneficiaries With Drug Services | 233 |
| Total Drug Submitted ChargeAmount | 12447.11 |
| Total Drug Medicare AllowedAmount | 8514.97 |
| Total Drug Medicare PaymentAmount | 6502.14 |
| Total Drug Medicare Standardized Payment Amount | 6502.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 184 |
| Number Of Medical Services | 6198 |
| Number Of Medicare Beneficiaries With Medical Services | 3853 |
| Total Medical Submitted Charge Amount | 1849795.56 |
| Total Medical Medicare Allowed Amount | 315160.23 |
| Total Medical Medicare Payment Amount | 238852.95 |
| Total Medical Medicare Standardized Payment Amount | 265856.27 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 740 |
| Number Of Beneficiaries Age 65 to 74 | 1523 |
| Number Of Beneficiaries Age 75 to 84 | 1105 |
| Number Of Beneficiaries Age Greater 84 | 485 |
| Number Of Female Beneficiaries | 2272 |
| Number Of Male Beneficiaries | 1581 |
| Number Of Non Hispanic White Beneficiaries | 3394 |
| Number Of Black or African American Beneficiaries | 384 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3079 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 774 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6666 |