| National Provider Identifier [NPI]: | 1588750178 |
| Last Name Of The Provider | BORNE |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1200 N STATE ST |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 392022001 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 47 |
| Number Of Services | 23890 |
| Number Of Medicare Beneficiaries | 2599 |
| Total Submitted Charge Amount | 13937658 |
| Total Medicare Allowed Amount | 6934816.24 |
| Total Medicare Payment Amount | 5337216.15 |
| Total Medicare Standardized Payment Amount | 5436670.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 9678 |
| Number Of Medicare Beneficiaries With Drug Services | 806 |
| Total Drug Submitted ChargeAmount | 9845393 |
| Total Drug Medicare AllowedAmount | 5428907.53 |
| Total Drug Medicare PaymentAmount | 4233828.69 |
| Total Drug Medicare Standardized Payment Amount | 4233828.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 37 |
| Number Of Medical Services | 14212 |
| Number Of Medicare Beneficiaries With Medical Services | 2599 |
| Total Medical Submitted Charge Amount | 4092265 |
| Total Medical Medicare Allowed Amount | 1505908.71 |
| Total Medical Medicare Payment Amount | 1103387.46 |
| Total Medical Medicare Standardized Payment Amount | 1202841.74 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 242 |
| Number Of Beneficiaries Age 65 to 74 | 922 |
| Number Of Beneficiaries Age 75 to 84 | 924 |
| Number Of Beneficiaries Age Greater 84 | 511 |
| Number Of Female Beneficiaries | 1600 |
| Number Of Male Beneficiaries | 999 |
| Number Of Non Hispanic White Beneficiaries | 2067 |
| Number Of Black or African American Beneficiaries | 499 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 11 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2096 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 503 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3629 |