| National Provider Identifier [NPI]: | 1093742694 |
| Last Name Of The Provider | MORIN |
| First Name Of The Provider | ALEXANDRE |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 119 MAPLE ST |
| Street Address 2 Of The Provider | SUITE 205 |
| City Of The Provider | CARROLLTON |
| Zip Code Of The Provider | 301173230 |
| 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 | 182 |
| Number Of Services | 9092 |
| Number Of Medicare Beneficiaries | 4708 |
| Total Submitted Charge Amount | 1283203 |
| Total Medicare Allowed Amount | 277290.42 |
| Total Medicare Payment Amount | 201943.74 |
| Total Medicare Standardized Payment Amount | 213928.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 890 |
| Number Of Medicare Beneficiaries With Drug Services | 20 |
| Total Drug Submitted ChargeAmount | 4797 |
| Total Drug Medicare AllowedAmount | 539.17 |
| Total Drug Medicare PaymentAmount | 421.05 |
| Total Drug Medicare Standardized Payment Amount | 421.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 180 |
| Number Of Medical Services | 8202 |
| Number Of Medicare Beneficiaries With Medical Services | 4708 |
| Total Medical Submitted Charge Amount | 1278406 |
| Total Medical Medicare Allowed Amount | 276751.25 |
| Total Medical Medicare Payment Amount | 201522.69 |
| Total Medical Medicare Standardized Payment Amount | 213507.54 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1125 |
| Number Of Beneficiaries Age 65 to 74 | 1735 |
| Number Of Beneficiaries Age 75 to 84 | 1275 |
| Number Of Beneficiaries Age Greater 84 | 573 |
| Number Of Female Beneficiaries | 2778 |
| Number Of Male Beneficiaries | 1930 |
| Number Of Non Hispanic White Beneficiaries | 4049 |
| Number Of Black or African American Beneficiaries | 560 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 52 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3145 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1563 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.657 |