| National Provider Identifier [NPI]: | 1114955572 |
| Last Name Of The Provider | JUSTICE |
| First Name Of The Provider | ALAN |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 446 POPLAR ST |
| Street Address 2 Of The Provider | SUITE B |
| City Of The Provider | MACON |
| Zip Code Of The Provider | 312013336 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 165 |
| Number Of Services | 33141 |
| Number Of Medicare Beneficiaries | 1576 |
| Total Submitted Charge Amount | 1342650.34 |
| Total Medicare Allowed Amount | 995186.17 |
| Total Medicare Payment Amount | 797596.83 |
| Total Medicare Standardized Payment Amount | 849916.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 14 |
| Number Of Drug Services | 1765 |
| Number Of Medicare Beneficiaries With Drug Services | 585 |
| Total Drug Submitted ChargeAmount | 21514 |
| Total Drug Medicare AllowedAmount | 13526.6 |
| Total Drug Medicare PaymentAmount | 11928.61 |
| Total Drug Medicare Standardized Payment Amount | 11928.61 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 151 |
| Number Of Medical Services | 31376 |
| Number Of Medicare Beneficiaries With Medical Services | 1576 |
| Total Medical Submitted Charge Amount | 1321136.34 |
| Total Medical Medicare Allowed Amount | 981659.57 |
| Total Medical Medicare Payment Amount | 785668.22 |
| Total Medical Medicare Standardized Payment Amount | 837987.67 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 181 |
| Number Of Beneficiaries Age 65 to 74 | 804 |
| Number Of Beneficiaries Age 75 to 84 | 462 |
| Number Of Beneficiaries Age Greater 84 | 129 |
| Number Of Female Beneficiaries | 864 |
| Number Of Male Beneficiaries | 712 |
| Number Of Non Hispanic White Beneficiaries | 1392 |
| Number Of Black or African American Beneficiaries | 160 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1469 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 107 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 8 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9886 |