| National Provider Identifier [NPI]: | 1356341119 |
| Last Name Of The Provider | DONG |
| First Name Of The Provider | JING |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 651 S MILLEDGE AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | ATHENS |
| Zip Code Of The Provider | 306051250 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 72 |
| Number Of Services | 12235 |
| Number Of Medicare Beneficiaries | 2949 |
| Total Submitted Charge Amount | 2482673 |
| Total Medicare Allowed Amount | 1301083.65 |
| Total Medicare Payment Amount | 955899.15 |
| Total Medicare Standardized Payment Amount | 1022886.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2600 |
| Number Of Medicare Beneficiaries With Drug Services | 12 |
| Total Drug Submitted ChargeAmount | 26000 |
| Total Drug Medicare AllowedAmount | 14296.6 |
| Total Drug Medicare PaymentAmount | 11196.03 |
| Total Drug Medicare Standardized Payment Amount | 11196.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 71 |
| Number Of Medical Services | 9635 |
| Number Of Medicare Beneficiaries With Medical Services | 2949 |
| Total Medical Submitted Charge Amount | 2456673 |
| Total Medical Medicare Allowed Amount | 1286787.05 |
| Total Medical Medicare Payment Amount | 944703.12 |
| Total Medical Medicare Standardized Payment Amount | 1011690.14 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 372 |
| Number Of Beneficiaries Age 65 to 74 | 1353 |
| Number Of Beneficiaries Age 75 to 84 | 953 |
| Number Of Beneficiaries Age Greater 84 | 271 |
| Number Of Female Beneficiaries | 1820 |
| Number Of Male Beneficiaries | 1129 |
| Number Of Non Hispanic White Beneficiaries | 2328 |
| Number Of Black or African American Beneficiaries | 528 |
| Number Of AsianPacific Islander Beneficiaries | 39 |
| Number Of Hispanic Beneficiaries | 33 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2195 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 754 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1303 |