| National Provider Identifier [NPI]: | 1144250598 |
| Last Name Of The Provider | MOORE |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2602 BUFORD RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | RICHMOND |
| Zip Code Of The Provider | 232353422 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 135 |
| Number Of Services | 11327 |
| Number Of Medicare Beneficiaries | 4523 |
| Total Submitted Charge Amount | 797183.77 |
| Total Medicare Allowed Amount | 213429.03 |
| Total Medicare Payment Amount | 162064.63 |
| Total Medicare Standardized Payment Amount | 166251.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 4575 |
| Number Of Medicare Beneficiaries With Drug Services | 50 |
| Total Drug Submitted ChargeAmount | 5764.5 |
| Total Drug Medicare AllowedAmount | 856.38 |
| Total Drug Medicare PaymentAmount | 671.32 |
| Total Drug Medicare Standardized Payment Amount | 671.32 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 134 |
| Number Of Medical Services | 6752 |
| Number Of Medicare Beneficiaries With Medical Services | 4523 |
| Total Medical Submitted Charge Amount | 791419.27 |
| Total Medical Medicare Allowed Amount | 212572.65 |
| Total Medical Medicare Payment Amount | 161393.31 |
| Total Medical Medicare Standardized Payment Amount | 165580.14 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 778 |
| Number Of Beneficiaries Age 65 to 74 | 1543 |
| Number Of Beneficiaries Age 75 to 84 | 1368 |
| Number Of Beneficiaries Age Greater 84 | 834 |
| Number Of Female Beneficiaries | 2521 |
| Number Of Male Beneficiaries | 2002 |
| Number Of Non Hispanic White Beneficiaries | 3226 |
| Number Of Black or African American Beneficiaries | 1173 |
| Number Of AsianPacific Islander Beneficiaries | 44 |
| Number Of Hispanic Beneficiaries | 47 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3485 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1038 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9101 |