| National Provider Identifier [NPI]: | 1033184510 |
| Last Name Of The Provider | HONG |
| First Name Of The Provider | DOUG |
| Middle Initial Of The Provider | U |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 651 DUNLOP LN |
| Street Address 2 Of The Provider | |
| City Of The Provider | CLARKSVILLE |
| Zip Code Of The Provider | 370405015 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 202 |
| Number Of Services | 9107 |
| Number Of Medicare Beneficiaries | 4012 |
| Total Submitted Charge Amount | 1080958 |
| Total Medicare Allowed Amount | 233398.07 |
| Total Medicare Payment Amount | 174995.22 |
| Total Medicare Standardized Payment Amount | 188329.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1347 |
| Number Of Medicare Beneficiaries With Drug Services | 30 |
| Total Drug Submitted ChargeAmount | 5590 |
| Total Drug Medicare AllowedAmount | 898.31 |
| Total Drug Medicare PaymentAmount | 673.37 |
| Total Drug Medicare Standardized Payment Amount | 673.37 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 200 |
| Number Of Medical Services | 7760 |
| Number Of Medicare Beneficiaries With Medical Services | 4010 |
| Total Medical Submitted Charge Amount | 1075368 |
| Total Medical Medicare Allowed Amount | 232499.76 |
| Total Medical Medicare Payment Amount | 174321.85 |
| Total Medical Medicare Standardized Payment Amount | 187655.94 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 907 |
| Number Of Beneficiaries Age 65 to 74 | 1628 |
| Number Of Beneficiaries Age 75 to 84 | 1053 |
| Number Of Beneficiaries Age Greater 84 | 424 |
| Number Of Female Beneficiaries | 2630 |
| Number Of Male Beneficiaries | 1382 |
| Number Of Non Hispanic White Beneficiaries | 3238 |
| Number Of Black or African American Beneficiaries | 585 |
| Number Of AsianPacific Islander Beneficiaries | 62 |
| Number Of Hispanic Beneficiaries | 76 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3099 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 913 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4632 |