| National Provider Identifier [NPI]: | 1073503124 |
| Last Name Of The Provider | BARRY |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1331 NORTH ELM STREET |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | GREENSBORO |
| Zip Code Of The Provider | 274016304 |
| 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 | 117 |
| Number Of Services | 20282 |
| Number Of Medicare Beneficiaries | 2774 |
| Total Submitted Charge Amount | 682819.92 |
| Total Medicare Allowed Amount | 174996.6 |
| Total Medicare Payment Amount | 125665.14 |
| Total Medicare Standardized Payment Amount | 134740.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 16740 |
| Number Of Medicare Beneficiaries With Drug Services | 168 |
| Total Drug Submitted ChargeAmount | 2569.92 |
| Total Drug Medicare AllowedAmount | 2207.66 |
| Total Drug Medicare PaymentAmount | 1719.6 |
| Total Drug Medicare Standardized Payment Amount | 1719.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 115 |
| Number Of Medical Services | 3542 |
| Number Of Medicare Beneficiaries With Medical Services | 2774 |
| Total Medical Submitted Charge Amount | 680250 |
| Total Medical Medicare Allowed Amount | 172788.94 |
| Total Medical Medicare Payment Amount | 123945.54 |
| Total Medical Medicare Standardized Payment Amount | 133020.44 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 560 |
| Number Of Beneficiaries Age 65 to 74 | 1014 |
| Number Of Beneficiaries Age 75 to 84 | 765 |
| Number Of Beneficiaries Age Greater 84 | 435 |
| Number Of Female Beneficiaries | 1643 |
| Number Of Male Beneficiaries | 1131 |
| Number Of Non Hispanic White Beneficiaries | 2142 |
| Number Of Black or African American Beneficiaries | 560 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2024 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 750 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.6463 |