| National Provider Identifier [NPI]: | 1639107121 |
| Last Name Of The Provider | COLE |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5000 W 4TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | HATTIESBURG |
| Zip Code Of The Provider | 394021000 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 236 |
| Number Of Services | 22362 |
| Number Of Medicare Beneficiaries | 5215 |
| Total Submitted Charge Amount | 1578902 |
| Total Medicare Allowed Amount | 338436.89 |
| Total Medicare Payment Amount | 258164.36 |
| Total Medicare Standardized Payment Amount | 281211.33 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 14362 |
| Number Of Medicare Beneficiaries With Drug Services | 199 |
| Total Drug Submitted ChargeAmount | 17485 |
| Total Drug Medicare AllowedAmount | 3922.13 |
| Total Drug Medicare PaymentAmount | 3075.03 |
| Total Drug Medicare Standardized Payment Amount | 3075.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 232 |
| Number Of Medical Services | 8000 |
| Number Of Medicare Beneficiaries With Medical Services | 5215 |
| Total Medical Submitted Charge Amount | 1561417 |
| Total Medical Medicare Allowed Amount | 334514.76 |
| Total Medical Medicare Payment Amount | 255089.33 |
| Total Medical Medicare Standardized Payment Amount | 278136.3 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1222 |
| Number Of Beneficiaries Age 65 to 74 | 1949 |
| Number Of Beneficiaries Age 75 to 84 | 1414 |
| Number Of Beneficiaries Age Greater 84 | 630 |
| Number Of Female Beneficiaries | 3079 |
| Number Of Male Beneficiaries | 2136 |
| Number Of Non Hispanic White Beneficiaries | 3974 |
| Number Of Black or African American Beneficiaries | 1186 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3203 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2012 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7281 |