| National Provider Identifier [NPI]: | 1629075189 |
| Last Name Of The Provider | REMINGTON |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1025 MEDICAL CENTER DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | WILMINGTON |
| Zip Code Of The Provider | 28401 |
| 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 | 199 |
| Number Of Services | 14558 |
| Number Of Medicare Beneficiaries | 5764 |
| Total Submitted Charge Amount | 1902984.24 |
| Total Medicare Allowed Amount | 415399.58 |
| Total Medicare Payment Amount | 327187.24 |
| Total Medicare Standardized Payment Amount | 348061.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 5688 |
| Number Of Medicare Beneficiaries With Drug Services | 113 |
| Total Drug Submitted ChargeAmount | 6351.24 |
| Total Drug Medicare AllowedAmount | 2689.09 |
| Total Drug Medicare PaymentAmount | 2098.53 |
| Total Drug Medicare Standardized Payment Amount | 2098.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 196 |
| Number Of Medical Services | 8870 |
| Number Of Medicare Beneficiaries With Medical Services | 5764 |
| Total Medical Submitted Charge Amount | 1896633 |
| Total Medical Medicare Allowed Amount | 412710.49 |
| Total Medical Medicare Payment Amount | 325088.71 |
| Total Medical Medicare Standardized Payment Amount | 345962.5 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 958 |
| Number Of Beneficiaries Age 65 to 74 | 2559 |
| Number Of Beneficiaries Age 75 to 84 | 1606 |
| Number Of Beneficiaries Age Greater 84 | 641 |
| Number Of Female Beneficiaries | 3760 |
| Number Of Male Beneficiaries | 2004 |
| Number Of Non Hispanic White Beneficiaries | 4711 |
| Number Of Black or African American Beneficiaries | 917 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 51 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4524 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1240 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.3701 |