| National Provider Identifier [NPI]: | 1902086549 |
| Last Name Of The Provider | MANN |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2006 FRANKLIN ST SE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | HUNTSVILLE |
| Zip Code Of The Provider | 358014551 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 171 |
| Number Of Services | 8177 |
| Number Of Medicare Beneficiaries | 3057 |
| Total Submitted Charge Amount | 386086.87 |
| Total Medicare Allowed Amount | 148991.3 |
| Total Medicare Payment Amount | 116699.33 |
| Total Medicare Standardized Payment Amount | 128164.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3703 |
| Number Of Medicare Beneficiaries With Drug Services | 57 |
| Total Drug Submitted ChargeAmount | 4687 |
| Total Drug Medicare AllowedAmount | 1325.73 |
| Total Drug Medicare PaymentAmount | 1019.5 |
| Total Drug Medicare Standardized Payment Amount | 1019.5 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 169 |
| Number Of Medical Services | 4474 |
| Number Of Medicare Beneficiaries With Medical Services | 3057 |
| Total Medical Submitted Charge Amount | 381399.87 |
| Total Medical Medicare Allowed Amount | 147665.57 |
| Total Medical Medicare Payment Amount | 115679.83 |
| Total Medical Medicare Standardized Payment Amount | 127145.11 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 664 |
| Number Of Beneficiaries Age 65 to 74 | 1156 |
| Number Of Beneficiaries Age 75 to 84 | 881 |
| Number Of Beneficiaries Age Greater 84 | 356 |
| Number Of Female Beneficiaries | 1942 |
| Number Of Male Beneficiaries | 1115 |
| Number Of Non Hispanic White Beneficiaries | 2512 |
| Number Of Black or African American Beneficiaries | 485 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2357 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 700 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.5832 |