| National Provider Identifier [NPI]: | 1619171709 |
| Last Name Of The Provider | HAYNES |
| First Name Of The Provider | SCOTTY |
| 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 | 1113 MURFREESBORO RD |
| Street Address 2 Of The Provider | SUITE 106, #343 |
| City Of The Provider | FRANKLIN |
| Zip Code Of The Provider | 370641306 |
| 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 | 195 |
| Number Of Services | 12986 |
| Number Of Medicare Beneficiaries | 2145 |
| Total Submitted Charge Amount | 891655.52 |
| Total Medicare Allowed Amount | 166029.5 |
| Total Medicare Payment Amount | 127542.29 |
| Total Medicare Standardized Payment Amount | 138809.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 9077 |
| Number Of Medicare Beneficiaries With Drug Services | 100 |
| Total Drug Submitted ChargeAmount | 2593.25 |
| Total Drug Medicare AllowedAmount | 2593.25 |
| Total Drug Medicare PaymentAmount | 1975.03 |
| Total Drug Medicare Standardized Payment Amount | 1975.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 191 |
| Number Of Medical Services | 3909 |
| Number Of Medicare Beneficiaries With Medical Services | 2145 |
| Total Medical Submitted Charge Amount | 889062.27 |
| Total Medical Medicare Allowed Amount | 163436.25 |
| Total Medical Medicare Payment Amount | 125567.26 |
| Total Medical Medicare Standardized Payment Amount | 136834.39 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 492 |
| Number Of Beneficiaries Age 65 to 74 | 782 |
| Number Of Beneficiaries Age 75 to 84 | 585 |
| Number Of Beneficiaries Age Greater 84 | 286 |
| Number Of Female Beneficiaries | 1344 |
| Number Of Male Beneficiaries | 801 |
| Number Of Non Hispanic White Beneficiaries | 1929 |
| Number Of Black or African American Beneficiaries | 157 |
| Number Of AsianPacific Islander Beneficiaries | 27 |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1552 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 593 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7235 |