| National Provider Identifier [NPI]: | 1093868952 |
| Last Name Of The Provider | HYSLOP |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1919 SADLER DR SE |
| Street Address 2 Of The Provider | |
| City Of The Provider | SMYRNA |
| Zip Code Of The Provider | 300805845 |
| 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 | 177 |
| Number Of Services | 9733 |
| Number Of Medicare Beneficiaries | 4062 |
| Total Submitted Charge Amount | 1036335.38 |
| Total Medicare Allowed Amount | 238206.64 |
| Total Medicare Payment Amount | 184239.95 |
| Total Medicare Standardized Payment Amount | 191098.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2659 |
| Number Of Medicare Beneficiaries With Drug Services | 36 |
| Total Drug Submitted ChargeAmount | 9095.75 |
| Total Drug Medicare AllowedAmount | 776.04 |
| Total Drug Medicare PaymentAmount | 608.41 |
| Total Drug Medicare Standardized Payment Amount | 608.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 175 |
| Number Of Medical Services | 7074 |
| Number Of Medicare Beneficiaries With Medical Services | 4062 |
| Total Medical Submitted Charge Amount | 1027239.63 |
| Total Medical Medicare Allowed Amount | 237430.6 |
| Total Medical Medicare Payment Amount | 183631.54 |
| Total Medical Medicare Standardized Payment Amount | 190490.02 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 855 |
| Number Of Beneficiaries Age 65 to 74 | 1703 |
| Number Of Beneficiaries Age 75 to 84 | 1083 |
| Number Of Beneficiaries Age Greater 84 | 421 |
| Number Of Female Beneficiaries | 2673 |
| Number Of Male Beneficiaries | 1389 |
| Number Of Non Hispanic White Beneficiaries | 3529 |
| Number Of Black or African American Beneficiaries | 454 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 35 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2849 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1213 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| 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 | 43 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5267 |