| National Provider Identifier [NPI]: | 1023265840 |
| Last Name Of The Provider | ALLEN |
| First Name Of The Provider | JARED |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3501 N SCOTTSDALE RD |
| Street Address 2 Of The Provider | SUITE 130 |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852515648 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 156 |
| Number Of Services | 110236 |
| Number Of Medicare Beneficiaries | 3767 |
| Total Submitted Charge Amount | 3447395.7 |
| Total Medicare Allowed Amount | 774753.77 |
| Total Medicare Payment Amount | 587602.66 |
| Total Medicare Standardized Payment Amount | 611668.53 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 103726 |
| Number Of Medicare Beneficiaries With Drug Services | 1022 |
| Total Drug Submitted ChargeAmount | 214233.7 |
| Total Drug Medicare AllowedAmount | 27920.47 |
| Total Drug Medicare PaymentAmount | 21690.92 |
| Total Drug Medicare Standardized Payment Amount | 21690.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 150 |
| Number Of Medical Services | 6510 |
| Number Of Medicare Beneficiaries With Medical Services | 3767 |
| Total Medical Submitted Charge Amount | 3233162 |
| Total Medical Medicare Allowed Amount | 746833.3 |
| Total Medical Medicare Payment Amount | 565911.74 |
| Total Medical Medicare Standardized Payment Amount | 589977.61 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 198 |
| Number Of Beneficiaries Age 65 to 74 | 1780 |
| Number Of Beneficiaries Age 75 to 84 | 1231 |
| Number Of Beneficiaries Age Greater 84 | 558 |
| Number Of Female Beneficiaries | 2031 |
| Number Of Male Beneficiaries | 1736 |
| Number Of Non Hispanic White Beneficiaries | 3473 |
| Number Of Black or African American Beneficiaries | 60 |
| Number Of AsianPacific Islander Beneficiaries | 35 |
| Number Of Hispanic Beneficiaries | 110 |
| Number Of American Indian Alaska Native Beneficiaries | 33 |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3545 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 222 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.403 |