| National Provider Identifier [NPI]: | 1275523086 |
| Last Name Of The Provider | COLLINGS |
| First Name Of The Provider | CAROL |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 770 PINE ST STE 290 |
| Street Address 2 Of The Provider | ATTN: RADIOLOGY DEPARTMENT |
| City Of The Provider | MACON |
| Zip Code Of The Provider | 312017516 |
| 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 | 166 |
| Number Of Services | 5763 |
| Number Of Medicare Beneficiaries | 3422 |
| Total Submitted Charge Amount | 619032 |
| Total Medicare Allowed Amount | 156576.41 |
| Total Medicare Payment Amount | 121249.4 |
| Total Medicare Standardized Payment Amount | 128602.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 345 |
| Number Of Medicare Beneficiaries With Drug Services | 44 |
| Total Drug Submitted ChargeAmount | 8780 |
| Total Drug Medicare AllowedAmount | 307.03 |
| Total Drug Medicare PaymentAmount | 232.55 |
| Total Drug Medicare Standardized Payment Amount | 232.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 163 |
| Number Of Medical Services | 5418 |
| Number Of Medicare Beneficiaries With Medical Services | 3422 |
| Total Medical Submitted Charge Amount | 610252 |
| Total Medical Medicare Allowed Amount | 156269.38 |
| Total Medical Medicare Payment Amount | 121016.85 |
| Total Medical Medicare Standardized Payment Amount | 128369.99 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 783 |
| Number Of Beneficiaries Age 65 to 74 | 1339 |
| Number Of Beneficiaries Age 75 to 84 | 941 |
| Number Of Beneficiaries Age Greater 84 | 359 |
| Number Of Female Beneficiaries | 2239 |
| Number Of Male Beneficiaries | 1183 |
| Number Of Non Hispanic White Beneficiaries | 2278 |
| Number Of Black or African American Beneficiaries | 1088 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2439 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 983 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8274 |