| National Provider Identifier [NPI]: | 1033192034 |
| Last Name Of The Provider | JOHNSON |
| First Name Of The Provider | ALEX |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2006 FRANKLIN ST SE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | HUNTSVILLE |
| Zip Code Of The Provider | 358014551 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 282 |
| Number Of Services | 9303 |
| Number Of Medicare Beneficiaries | 3664 |
| Total Submitted Charge Amount | 686172.81 |
| Total Medicare Allowed Amount | 287372.62 |
| Total Medicare Payment Amount | 223529.83 |
| Total Medicare Standardized Payment Amount | 238869.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3113 |
| Number Of Medicare Beneficiaries With Drug Services | 38 |
| Total Drug Submitted ChargeAmount | 3377 |
| Total Drug Medicare AllowedAmount | 804.78 |
| Total Drug Medicare PaymentAmount | 630.91 |
| Total Drug Medicare Standardized Payment Amount | 630.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 280 |
| Number Of Medical Services | 6190 |
| Number Of Medicare Beneficiaries With Medical Services | 3664 |
| Total Medical Submitted Charge Amount | 682795.81 |
| Total Medical Medicare Allowed Amount | 286567.84 |
| Total Medical Medicare Payment Amount | 222898.92 |
| Total Medical Medicare Standardized Payment Amount | 238238.84 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 635 |
| Number Of Beneficiaries Age 65 to 74 | 1322 |
| Number Of Beneficiaries Age 75 to 84 | 1211 |
| Number Of Beneficiaries Age Greater 84 | 496 |
| Number Of Female Beneficiaries | 2032 |
| Number Of Male Beneficiaries | 1632 |
| Number Of Non Hispanic White Beneficiaries | 3046 |
| Number Of Black or African American Beneficiaries | 552 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2846 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 818 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9816 |