| National Provider Identifier [NPI]: | 1184764110 |
| Last Name Of The Provider | RESNICK |
| First Name Of The Provider | STUART |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3950 AUSTELL RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | AUSTELL |
| Zip Code Of The Provider | 301061121 |
| 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 | 161 |
| Number Of Services | 5619 |
| Number Of Medicare Beneficiaries | 3701 |
| Total Submitted Charge Amount | 1305331 |
| Total Medicare Allowed Amount | 254409.35 |
| Total Medicare Payment Amount | 195393.84 |
| Total Medicare Standardized Payment Amount | 199773.77 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 563 |
| Number Of Medicare Beneficiaries With Drug Services | 19 |
| Total Drug Submitted ChargeAmount | 2252 |
| Total Drug Medicare AllowedAmount | 566.54 |
| Total Drug Medicare PaymentAmount | 444.18 |
| Total Drug Medicare Standardized Payment Amount | 444.18 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 159 |
| Number Of Medical Services | 5056 |
| Number Of Medicare Beneficiaries With Medical Services | 3701 |
| Total Medical Submitted Charge Amount | 1303079 |
| Total Medical Medicare Allowed Amount | 253842.81 |
| Total Medical Medicare Payment Amount | 194949.66 |
| Total Medical Medicare Standardized Payment Amount | 199329.59 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 659 |
| Number Of Beneficiaries Age 65 to 74 | 1344 |
| Number Of Beneficiaries Age 75 to 84 | 1128 |
| Number Of Beneficiaries Age Greater 84 | 570 |
| Number Of Female Beneficiaries | 2192 |
| Number Of Male Beneficiaries | 1509 |
| Number Of Non Hispanic White Beneficiaries | 2918 |
| Number Of Black or African American Beneficiaries | 622 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 88 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2859 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 842 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.9552 |