| National Provider Identifier [NPI]: | 1730246208 |
| Last Name Of The Provider | OO |
| First Name Of The Provider | MAUNG |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 115 MEDICAL CIR |
| Street Address 2 Of The Provider | SUITE 106 |
| City Of The Provider | ATHENS |
| Zip Code Of The Provider | 757519004 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 141 |
| Number Of Services | 192853 |
| Number Of Medicare Beneficiaries | 680 |
| Total Submitted Charge Amount | 5052675 |
| Total Medicare Allowed Amount | 2307089.2 |
| Total Medicare Payment Amount | 1800714.65 |
| Total Medicare Standardized Payment Amount | 1819918.5 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 79 |
| Number Of Drug Services | 179815 |
| Number Of Medicare Beneficiaries With Drug Services | 295 |
| Total Drug Submitted ChargeAmount | 4031620 |
| Total Drug Medicare AllowedAmount | 1808031.27 |
| Total Drug Medicare PaymentAmount | 1413497.4 |
| Total Drug Medicare Standardized Payment Amount | 1413497.4 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 62 |
| Number Of Medical Services | 13038 |
| Number Of Medicare Beneficiaries With Medical Services | 680 |
| Total Medical Submitted Charge Amount | 1021055 |
| Total Medical Medicare Allowed Amount | 499057.93 |
| Total Medical Medicare Payment Amount | 387217.25 |
| Total Medical Medicare Standardized Payment Amount | 406421.1 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 97 |
| Number Of Beneficiaries Age 65 to 74 | 250 |
| Number Of Beneficiaries Age 75 to 84 | 227 |
| Number Of Beneficiaries Age Greater 84 | 106 |
| Number Of Female Beneficiaries | 389 |
| Number Of Male Beneficiaries | 291 |
| Number Of Non Hispanic White Beneficiaries | 614 |
| Number Of Black or African American Beneficiaries | 51 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 515 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 165 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 36 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 19 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.8613 |