| National Provider Identifier [NPI]: | 1558435610 |
| Last Name Of The Provider | GAME |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1415 SALTY BOTTOM RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | GURLEY |
| Zip Code Of The Provider | 357488786 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 180 |
| Number Of Services | 8110 |
| Number Of Medicare Beneficiaries | 4011 |
| Total Submitted Charge Amount | 838388 |
| Total Medicare Allowed Amount | 225645.7 |
| Total Medicare Payment Amount | 168968.39 |
| Total Medicare Standardized Payment Amount | 178806.51 |
| 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 | 180 |
| Number Of Medical Services | 8110 |
| Number Of Medicare Beneficiaries With Medical Services | 4011 |
| Total Medical Submitted Charge Amount | 838388 |
| Total Medical Medicare Allowed Amount | 225645.7 |
| Total Medical Medicare Payment Amount | 168968.39 |
| Total Medical Medicare Standardized Payment Amount | 178806.51 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1037 |
| Number Of Beneficiaries Age 65 to 74 | 1348 |
| Number Of Beneficiaries Age 75 to 84 | 1045 |
| Number Of Beneficiaries Age Greater 84 | 581 |
| Number Of Female Beneficiaries | 2338 |
| Number Of Male Beneficiaries | 1673 |
| Number Of Non Hispanic White Beneficiaries | 3695 |
| Number Of Black or African American Beneficiaries | 262 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 21 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2364 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1647 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 41 |
| Percent Of With Depression | 42 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 13 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.766 |