| National Provider Identifier [NPI]: | 1659374262 |
| Last Name Of The Provider | PETERS |
| First Name Of The Provider | BRADLEY |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 200 OAKSIDE LN |
| Street Address 2 Of The Provider | STE A |
| City Of The Provider | CANTON |
| Zip Code Of The Provider | 301146416 |
| 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 | 153 |
| Number Of Services | 7468 |
| Number Of Medicare Beneficiaries | 5196 |
| Total Submitted Charge Amount | 869603 |
| Total Medicare Allowed Amount | 236074.96 |
| Total Medicare Payment Amount | 179043.82 |
| Total Medicare Standardized Payment Amount | 180187.25 |
| 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 | 153 |
| Number Of Medical Services | 7468 |
| Number Of Medicare Beneficiaries With Medical Services | 5196 |
| Total Medical Submitted Charge Amount | 869603 |
| Total Medical Medicare Allowed Amount | 236074.96 |
| Total Medical Medicare Payment Amount | 179043.82 |
| Total Medical Medicare Standardized Payment Amount | 180187.25 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1016 |
| Number Of Beneficiaries Age 65 to 74 | 1594 |
| Number Of Beneficiaries Age 75 to 84 | 1482 |
| Number Of Beneficiaries Age Greater 84 | 1104 |
| Number Of Female Beneficiaries | 2963 |
| Number Of Male Beneficiaries | 2233 |
| Number Of Non Hispanic White Beneficiaries | 4540 |
| Number Of Black or African American Beneficiaries | 431 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 166 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3495 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1701 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8684 |