| National Provider Identifier [NPI]: | 1891743704 |
| Last Name Of The Provider | LECLAIR |
| First Name Of The Provider | JAMES |
| 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 | 212 LEPHILLIP CT, NE |
| Street Address 2 Of The Provider | SUITE 201 |
| City Of The Provider | CONCORD |
| Zip Code Of The Provider | 280252977 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 126 |
| Number Of Services | 4621 |
| Number Of Medicare Beneficiaries | 3369 |
| Total Submitted Charge Amount | 1034167 |
| Total Medicare Allowed Amount | 199082.48 |
| Total Medicare Payment Amount | 153996.03 |
| Total Medicare Standardized Payment Amount | 162354.88 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 126 |
| Number Of Medical Services | 4621 |
| Number Of Medicare Beneficiaries With Medical Services | 3369 |
| Total Medical Submitted Charge Amount | 1034167 |
| Total Medical Medicare Allowed Amount | 199082.48 |
| Total Medical Medicare Payment Amount | 153996.03 |
| Total Medical Medicare Standardized Payment Amount | 162354.88 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 705 |
| Number Of Beneficiaries Age 65 to 74 | 1195 |
| Number Of Beneficiaries Age 75 to 84 | 924 |
| Number Of Beneficiaries Age Greater 84 | 545 |
| Number Of Female Beneficiaries | 1986 |
| Number Of Male Beneficiaries | 1383 |
| Number Of Non Hispanic White Beneficiaries | 2662 |
| Number Of Black or African American Beneficiaries | 584 |
| Number Of AsianPacific Islander Beneficiaries | 31 |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2380 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 989 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.7658 |