| National Provider Identifier [NPI]: | 1285613307 |
| Last Name Of The Provider | WETHERINGTON |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2000 LAKE PARK DR SE |
| Street Address 2 Of The Provider | |
| City Of The Provider | SMYRNA |
| Zip Code Of The Provider | 300807611 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 9 |
| Number Of Services | 24538 |
| Number Of Medicare Beneficiaries | 13801 |
| Total Submitted Charge Amount | 4745935 |
| Total Medicare Allowed Amount | 1703394.79 |
| Total Medicare Payment Amount | 1288501.57 |
| Total Medicare Standardized Payment Amount | 991263.33 |
| 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 | 9 |
| Number Of Medical Services | 24538 |
| Number Of Medicare Beneficiaries With Medical Services | 13801 |
| Total Medical Submitted Charge Amount | 4745935 |
| Total Medical Medicare Allowed Amount | 1703394.79 |
| Total Medical Medicare Payment Amount | 1288501.57 |
| Total Medical Medicare Standardized Payment Amount | 991263.33 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 789 |
| Number Of Beneficiaries Age 65 to 74 | 6355 |
| Number Of Beneficiaries Age 75 to 84 | 4831 |
| Number Of Beneficiaries Age Greater 84 | 1826 |
| Number Of Female Beneficiaries | 6381 |
| Number Of Male Beneficiaries | 7420 |
| Number Of Non Hispanic White Beneficiaries | 13366 |
| Number Of Black or African American Beneficiaries | 223 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 57 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 127 |
| Number Of Beneficiaries With Medicare Only Entitlement | 12741 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1060 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0231 |