| National Provider Identifier [NPI]: | 1033198981 |
| Last Name Of The Provider | MADELL |
| First Name Of The Provider | SPENCER |
| 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 | 142 W 5TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | COOKEVILLE |
| Zip Code Of The Provider | 385011760 |
| 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 | 236 |
| Number Of Services | 12258 |
| Number Of Medicare Beneficiaries | 5686 |
| Total Submitted Charge Amount | 1137824 |
| Total Medicare Allowed Amount | 361925.88 |
| Total Medicare Payment Amount | 275996.26 |
| Total Medicare Standardized Payment Amount | 294476.58 |
| 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 | 236 |
| Number Of Medical Services | 12258 |
| Number Of Medicare Beneficiaries With Medical Services | 5686 |
| Total Medical Submitted Charge Amount | 1137824 |
| Total Medical Medicare Allowed Amount | 361925.88 |
| Total Medical Medicare Payment Amount | 275996.26 |
| Total Medical Medicare Standardized Payment Amount | 294476.58 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1009 |
| Number Of Beneficiaries Age 65 to 74 | 2360 |
| Number Of Beneficiaries Age 75 to 84 | 1626 |
| Number Of Beneficiaries Age Greater 84 | 691 |
| Number Of Female Beneficiaries | 3343 |
| Number Of Male Beneficiaries | 2343 |
| Number Of Non Hispanic White Beneficiaries | 5542 |
| Number Of Black or African American Beneficiaries | 51 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 41 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3940 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1746 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6123 |