| National Provider Identifier [NPI]: | 1427028802 |
| Last Name Of The Provider | ZERDEN |
| First Name Of The Provider | SOLOMON |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5354 REYNOLDS ST |
| Street Address 2 Of The Provider | STE 102 |
| City Of The Provider | SAVANNAH |
| Zip Code Of The Provider | 314056007 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 212 |
| Number Of Services | 8170 |
| Number Of Medicare Beneficiaries | 4618 |
| Total Submitted Charge Amount | 672258 |
| Total Medicare Allowed Amount | 211525.72 |
| Total Medicare Payment Amount | 167202.47 |
| Total Medicare Standardized Payment Amount | 173926.27 |
| 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 | 212 |
| Number Of Medical Services | 8170 |
| Number Of Medicare Beneficiaries With Medical Services | 4618 |
| Total Medical Submitted Charge Amount | 672258 |
| Total Medical Medicare Allowed Amount | 211525.72 |
| Total Medical Medicare Payment Amount | 167202.47 |
| Total Medical Medicare Standardized Payment Amount | 173926.27 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 687 |
| Number Of Beneficiaries Age 65 to 74 | 1905 |
| Number Of Beneficiaries Age 75 to 84 | 1408 |
| Number Of Beneficiaries Age Greater 84 | 618 |
| Number Of Female Beneficiaries | 3220 |
| Number Of Male Beneficiaries | 1398 |
| Number Of Non Hispanic White Beneficiaries | 3284 |
| Number Of Black or African American Beneficiaries | 1226 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 49 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3500 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1118 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6083 |