| National Provider Identifier [NPI]: | 1659361590 |
| Last Name Of The Provider | RODRIGUEZ |
| First Name Of The Provider | ADRIANA |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2415 PARKWOOD DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | BRUNSWICK |
| Zip Code Of The Provider | 315204722 |
| 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 | 195 |
| Number Of Services | 8217 |
| Number Of Medicare Beneficiaries | 4388 |
| Total Submitted Charge Amount | 1144208 |
| Total Medicare Allowed Amount | 230307.98 |
| Total Medicare Payment Amount | 178323.16 |
| Total Medicare Standardized Payment Amount | 185871.58 |
| 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 | 195 |
| Number Of Medical Services | 8217 |
| Number Of Medicare Beneficiaries With Medical Services | 4388 |
| Total Medical Submitted Charge Amount | 1144208 |
| Total Medical Medicare Allowed Amount | 230307.98 |
| Total Medical Medicare Payment Amount | 178323.16 |
| Total Medical Medicare Standardized Payment Amount | 185871.58 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 825 |
| Number Of Beneficiaries Age 65 to 74 | 1850 |
| Number Of Beneficiaries Age 75 to 84 | 1208 |
| Number Of Beneficiaries Age Greater 84 | 505 |
| Number Of Female Beneficiaries | 2814 |
| Number Of Male Beneficiaries | 1574 |
| Number Of Non Hispanic White Beneficiaries | 3549 |
| Number Of Black or African American Beneficiaries | 722 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 57 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3372 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1016 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5175 |