| National Provider Identifier [NPI]: | 1871567743 |
| Last Name Of The Provider | ARNOLD |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 705 DIXIE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | CARROLLTON |
| Zip Code Of The Provider | 301173818 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 171 |
| Number Of Services | 10973 |
| Number Of Medicare Beneficiaries | 5037 |
| Total Submitted Charge Amount | 1116524.16 |
| Total Medicare Allowed Amount | 251626.43 |
| Total Medicare Payment Amount | 196456.92 |
| Total Medicare Standardized Payment Amount | 204706.01 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2030 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 5695 |
| Total Drug Medicare AllowedAmount | 486.56 |
| Total Drug Medicare PaymentAmount | 357.62 |
| Total Drug Medicare Standardized Payment Amount | 357.62 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 169 |
| Number Of Medical Services | 8943 |
| Number Of Medicare Beneficiaries With Medical Services | 5037 |
| Total Medical Submitted Charge Amount | 1110829.16 |
| Total Medical Medicare Allowed Amount | 251139.87 |
| Total Medical Medicare Payment Amount | 196099.3 |
| Total Medical Medicare Standardized Payment Amount | 204348.39 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1030 |
| Number Of Beneficiaries Age 65 to 74 | 2091 |
| Number Of Beneficiaries Age 75 to 84 | 1379 |
| Number Of Beneficiaries Age Greater 84 | 537 |
| Number Of Female Beneficiaries | 3539 |
| Number Of Male Beneficiaries | 1498 |
| Number Of Non Hispanic White Beneficiaries | 4317 |
| Number Of Black or African American Beneficiaries | 590 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 75 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3619 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1418 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4426 |