| National Provider Identifier [NPI]: | 1427232966 |
| Last Name Of The Provider | GU |
| First Name Of The Provider | LIANG |
| 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 | 1900 FAIRVIEW AVE |
| Street Address 2 Of The Provider | RADIOLOGY ASSOCIATES OF DOTHAN |
| City Of The Provider | DOTHAN |
| Zip Code Of The Provider | 363013008 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 252 |
| Number Of Services | 14517 |
| Number Of Medicare Beneficiaries | 8699 |
| Total Submitted Charge Amount | 2118114 |
| Total Medicare Allowed Amount | 461049.61 |
| Total Medicare Payment Amount | 354241.87 |
| Total Medicare Standardized Payment Amount | 378033.72 |
| 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 | 252 |
| Number Of Medical Services | 14517 |
| Number Of Medicare Beneficiaries With Medical Services | 8699 |
| Total Medical Submitted Charge Amount | 2118114 |
| Total Medical Medicare Allowed Amount | 461049.61 |
| Total Medical Medicare Payment Amount | 354241.87 |
| Total Medical Medicare Standardized Payment Amount | 378033.72 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1839 |
| Number Of Beneficiaries Age 65 to 74 | 3351 |
| Number Of Beneficiaries Age 75 to 84 | 2559 |
| Number Of Beneficiaries Age Greater 84 | 950 |
| Number Of Female Beneficiaries | 5326 |
| Number Of Male Beneficiaries | 3373 |
| Number Of Non Hispanic White Beneficiaries | 6765 |
| Number Of Black or African American Beneficiaries | 1785 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 80 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6075 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2624 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.483 |