| National Provider Identifier [NPI]: | 1639145253 |
| Last Name Of The Provider | KING |
| First Name Of The Provider | BERNARDINE |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 535 JESSE JEWELL PARKWAY |
| Street Address 2 Of The Provider | SUITE C |
| City Of The Provider | GAINESVILLE |
| Zip Code Of The Provider | 30501 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 59 |
| Number Of Services | 11002 |
| Number Of Medicare Beneficiaries | 3407 |
| Total Submitted Charge Amount | 2208564.5 |
| Total Medicare Allowed Amount | 717376.88 |
| Total Medicare Payment Amount | 532362.91 |
| Total Medicare Standardized Payment Amount | 574548.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 772 |
| Number Of Medicare Beneficiaries With Drug Services | 190 |
| Total Drug Submitted ChargeAmount | 79588 |
| Total Drug Medicare AllowedAmount | 40507.39 |
| Total Drug Medicare PaymentAmount | 30924.41 |
| Total Drug Medicare Standardized Payment Amount | 30924.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 56 |
| Number Of Medical Services | 10230 |
| Number Of Medicare Beneficiaries With Medical Services | 3407 |
| Total Medical Submitted Charge Amount | 2128976.5 |
| Total Medical Medicare Allowed Amount | 676869.49 |
| Total Medical Medicare Payment Amount | 501438.5 |
| Total Medical Medicare Standardized Payment Amount | 543624.06 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 455 |
| Number Of Beneficiaries Age 65 to 74 | 1301 |
| Number Of Beneficiaries Age 75 to 84 | 1125 |
| Number Of Beneficiaries Age Greater 84 | 526 |
| Number Of Female Beneficiaries | 1786 |
| Number Of Male Beneficiaries | 1621 |
| Number Of Non Hispanic White Beneficiaries | 3172 |
| Number Of Black or African American Beneficiaries | 135 |
| Number Of AsianPacific Islander Beneficiaries | 22 |
| Number Of Hispanic Beneficiaries | 58 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2599 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 808 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7562 |