| National Provider Identifier [NPI]: | 1376658781 |
| Last Name Of The Provider | HORRAS |
| First Name Of The Provider | RANDY |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6019 WALNUT GROVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 38120 |
| 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 | 188 |
| Number Of Services | 11051 |
| Number Of Medicare Beneficiaries | 7238 |
| Total Submitted Charge Amount | 1254029 |
| Total Medicare Allowed Amount | 317823.7 |
| Total Medicare Payment Amount | 237411.62 |
| Total Medicare Standardized Payment Amount | 254327.19 |
| 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 | 188 |
| Number Of Medical Services | 11051 |
| Number Of Medicare Beneficiaries With Medical Services | 7238 |
| Total Medical Submitted Charge Amount | 1254029 |
| Total Medical Medicare Allowed Amount | 317823.7 |
| Total Medical Medicare Payment Amount | 237411.62 |
| Total Medical Medicare Standardized Payment Amount | 254327.19 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1383 |
| Number Of Beneficiaries Age 65 to 74 | 2597 |
| Number Of Beneficiaries Age 75 to 84 | 2175 |
| Number Of Beneficiaries Age Greater 84 | 1083 |
| Number Of Female Beneficiaries | 4248 |
| Number Of Male Beneficiaries | 2990 |
| Number Of Non Hispanic White Beneficiaries | 5291 |
| Number Of Black or African American Beneficiaries | 1811 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 46 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5239 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1999 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.976 |