| National Provider Identifier [NPI]: | 1952519670 |
| Last Name Of The Provider | DANIELS |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 MIMOSA DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | THOMASVILLE |
| Zip Code Of The Provider | 317926676 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 142 |
| Number Of Services | 7867 |
| Number Of Medicare Beneficiaries | 3309 |
| Total Submitted Charge Amount | 1907728.56 |
| Total Medicare Allowed Amount | 467372.75 |
| Total Medicare Payment Amount | 350656.81 |
| Total Medicare Standardized Payment Amount | 372582.85 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 886 |
| Number Of Medicare Beneficiaries With Drug Services | 106 |
| Total Drug Submitted ChargeAmount | 50500 |
| Total Drug Medicare AllowedAmount | 20804.9 |
| Total Drug Medicare PaymentAmount | 15580.03 |
| Total Drug Medicare Standardized Payment Amount | 15580.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 138 |
| Number Of Medical Services | 6981 |
| Number Of Medicare Beneficiaries With Medical Services | 3309 |
| Total Medical Submitted Charge Amount | 1857228.56 |
| Total Medical Medicare Allowed Amount | 446567.85 |
| Total Medical Medicare Payment Amount | 335076.78 |
| Total Medical Medicare Standardized Payment Amount | 357002.82 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 653 |
| Number Of Beneficiaries Age 65 to 74 | 1241 |
| Number Of Beneficiaries Age 75 to 84 | 942 |
| Number Of Beneficiaries Age Greater 84 | 473 |
| Number Of Female Beneficiaries | 1779 |
| Number Of Male Beneficiaries | 1530 |
| Number Of Non Hispanic White Beneficiaries | 2228 |
| Number Of Black or African American Beneficiaries | 1001 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 49 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2191 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1118 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.9586 |