| National Provider Identifier [NPI]: | 1326090507 |
| Last Name Of The Provider | FORTE |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9601 BAPTIST HEALTH DR |
| Street Address 2 Of The Provider | SUITE 1100 |
| City Of The Provider | LITTLE ROCK |
| Zip Code Of The Provider | 722056321 |
| 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 | 137 |
| Number Of Services | 9407 |
| Number Of Medicare Beneficiaries | 7101 |
| Total Submitted Charge Amount | 1139146 |
| Total Medicare Allowed Amount | 299746.68 |
| Total Medicare Payment Amount | 223270.66 |
| Total Medicare Standardized Payment Amount | 241265.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 137 |
| Number Of Medical Services | 9407 |
| Number Of Medicare Beneficiaries With Medical Services | 7101 |
| Total Medical Submitted Charge Amount | 1139146 |
| Total Medical Medicare Allowed Amount | 299746.68 |
| Total Medical Medicare Payment Amount | 223270.66 |
| Total Medical Medicare Standardized Payment Amount | 241265.04 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1327 |
| Number Of Beneficiaries Age 65 to 74 | 2792 |
| Number Of Beneficiaries Age 75 to 84 | 2099 |
| Number Of Beneficiaries Age Greater 84 | 883 |
| Number Of Female Beneficiaries | 4367 |
| Number Of Male Beneficiaries | 2734 |
| Number Of Non Hispanic White Beneficiaries | 5864 |
| Number Of Black or African American Beneficiaries | 1110 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 42 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5534 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1567 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.5943 |