| National Provider Identifier [NPI]: | 1447240213 |
| Last Name Of The Provider | ROSENGART |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| 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 | 180 |
| Number Of Services | 4983 |
| Number Of Medicare Beneficiaries | 3126 |
| Total Submitted Charge Amount | 533616 |
| Total Medicare Allowed Amount | 132126.01 |
| Total Medicare Payment Amount | 98575.87 |
| Total Medicare Standardized Payment Amount | 104884.86 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 591 |
| Number Of Medicare Beneficiaries With Drug Services | 15 |
| Total Drug Submitted ChargeAmount | 2578 |
| Total Drug Medicare AllowedAmount | 409.58 |
| Total Drug Medicare PaymentAmount | 321.11 |
| Total Drug Medicare Standardized Payment Amount | 321.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 177 |
| Number Of Medical Services | 4392 |
| Number Of Medicare Beneficiaries With Medical Services | 3126 |
| Total Medical Submitted Charge Amount | 531038 |
| Total Medical Medicare Allowed Amount | 131716.43 |
| Total Medical Medicare Payment Amount | 98254.76 |
| Total Medical Medicare Standardized Payment Amount | 104563.75 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 698 |
| Number Of Beneficiaries Age 65 to 74 | 1175 |
| Number Of Beneficiaries Age 75 to 84 | 901 |
| Number Of Beneficiaries Age Greater 84 | 352 |
| Number Of Female Beneficiaries | 1723 |
| Number Of Male Beneficiaries | 1403 |
| Number Of Non Hispanic White Beneficiaries | 2122 |
| Number Of Black or African American Beneficiaries | 949 |
| 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 | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2225 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 901 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.974 |