| National Provider Identifier [NPI]: | 1821053893 |
| Last Name Of The Provider | GRAHAM |
| First Name Of The Provider | RUFFIN |
| 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 | 9500 EUCLID AVE |
| Street Address 2 Of The Provider | L10 |
| City Of The Provider | CLEVELAND |
| Zip Code Of The Provider | 441950001 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 15 |
| Number Of Services | 6150 |
| Number Of Medicare Beneficiaries | 4058 |
| Total Submitted Charge Amount | 635467.94 |
| Total Medicare Allowed Amount | 89440.93 |
| Total Medicare Payment Amount | 67027.55 |
| Total Medicare Standardized Payment Amount | 70128.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 24 |
| Number Of Medicare Beneficiaries With Drug Services | 23 |
| Total Drug Submitted ChargeAmount | 187.94 |
| Total Drug Medicare AllowedAmount | 4.86 |
| Total Drug Medicare PaymentAmount | 3.9 |
| Total Drug Medicare Standardized Payment Amount | 3.9 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 14 |
| Number Of Medical Services | 6126 |
| Number Of Medicare Beneficiaries With Medical Services | 4058 |
| Total Medical Submitted Charge Amount | 635280 |
| Total Medical Medicare Allowed Amount | 89436.07 |
| Total Medical Medicare Payment Amount | 67023.65 |
| Total Medical Medicare Standardized Payment Amount | 70124.8 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 934 |
| Number Of Beneficiaries Age 65 to 74 | 1693 |
| Number Of Beneficiaries Age 75 to 84 | 1094 |
| Number Of Beneficiaries Age Greater 84 | 337 |
| Number Of Female Beneficiaries | 1794 |
| Number Of Male Beneficiaries | 2264 |
| Number Of Non Hispanic White Beneficiaries | 3222 |
| Number Of Black or African American Beneficiaries | 650 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 60 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 78 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3140 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 918 |
| Percent Of With Atrial Fibrillation | 31 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 52 |
| Percent Of With Chronic Kidney Disease | 53 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.4091 |