| National Provider Identifier [NPI]: | 1649229741 |
| Last Name Of The Provider | COLLIER |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3150 NORTH TENAYA WAY |
| Street Address 2 Of The Provider | STE 125 |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 89128 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pulmonary Disease |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 42 |
| Number Of Services | 11503 |
| Number Of Medicare Beneficiaries | 1736 |
| Total Submitted Charge Amount | 2953077 |
| Total Medicare Allowed Amount | 928668.71 |
| Total Medicare Payment Amount | 710362.46 |
| Total Medicare Standardized Payment Amount | 697759.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1996 |
| Number Of Medicare Beneficiaries With Drug Services | 515 |
| Total Drug Submitted ChargeAmount | 11994 |
| Total Drug Medicare AllowedAmount | 214.5 |
| Total Drug Medicare PaymentAmount | 165.4 |
| Total Drug Medicare Standardized Payment Amount | 165.4 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 39 |
| Number Of Medical Services | 9507 |
| Number Of Medicare Beneficiaries With Medical Services | 1733 |
| Total Medical Submitted Charge Amount | 2941083 |
| Total Medical Medicare Allowed Amount | 928454.21 |
| Total Medical Medicare Payment Amount | 710197.06 |
| Total Medical Medicare Standardized Payment Amount | 697594.42 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 151 |
| Number Of Beneficiaries Age 65 to 74 | 713 |
| Number Of Beneficiaries Age 75 to 84 | 642 |
| Number Of Beneficiaries Age Greater 84 | 230 |
| Number Of Female Beneficiaries | 911 |
| Number Of Male Beneficiaries | 825 |
| Number Of Non Hispanic White Beneficiaries | 1397 |
| Number Of Black or African American Beneficiaries | 159 |
| Number Of AsianPacific Islander Beneficiaries | 60 |
| Number Of Hispanic Beneficiaries | 89 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1548 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 188 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 21 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 54 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.0448 |