| National Provider Identifier [NPI]: | 1467407627 |
| Last Name Of The Provider | SMITH |
| First Name Of The Provider | TODD |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9601 LILE DR |
| Street Address 2 Of The Provider | SUITE 1100 |
| City Of The Provider | LITTLE ROCK |
| Zip Code Of The Provider | 722056321 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 154 |
| Number Of Services | 7800 |
| Number Of Medicare Beneficiaries | 5264 |
| Total Submitted Charge Amount | 926939 |
| Total Medicare Allowed Amount | 237800.23 |
| Total Medicare Payment Amount | 176591.41 |
| Total Medicare Standardized Payment Amount | 192158.54 |
| 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 | 154 |
| Number Of Medical Services | 7800 |
| Number Of Medicare Beneficiaries With Medical Services | 5264 |
| Total Medical Submitted Charge Amount | 926939 |
| Total Medical Medicare Allowed Amount | 237800.23 |
| Total Medical Medicare Payment Amount | 176591.41 |
| Total Medical Medicare Standardized Payment Amount | 192158.54 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1006 |
| Number Of Beneficiaries Age 65 to 74 | 1925 |
| Number Of Beneficiaries Age 75 to 84 | 1538 |
| Number Of Beneficiaries Age Greater 84 | 795 |
| Number Of Female Beneficiaries | 3108 |
| Number Of Male Beneficiaries | 2156 |
| Number Of Non Hispanic White Beneficiaries | 4384 |
| Number Of Black or African American Beneficiaries | 797 |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4010 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1254 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.7041 |