| National Provider Identifier [NPI]: | 1689794620 |
| Last Name Of The Provider | WALDROP |
| First Name Of The Provider | DEVIN |
| Middle Initial Of The Provider | V |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 770 PINE ST STE 290 |
| Street Address 2 Of The Provider | ATTN: RADIOLOGY DEPARTMENT |
| City Of The Provider | MACON |
| Zip Code Of The Provider | 312017516 |
| 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 | 178 |
| Number Of Services | 8307 |
| Number Of Medicare Beneficiaries | 3855 |
| Total Submitted Charge Amount | 1135121 |
| Total Medicare Allowed Amount | 244090.96 |
| Total Medicare Payment Amount | 185395.68 |
| Total Medicare Standardized Payment Amount | 199433.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 3137 |
| Number Of Medicare Beneficiaries With Drug Services | 69 |
| Total Drug Submitted ChargeAmount | 14584 |
| Total Drug Medicare AllowedAmount | 677.45 |
| Total Drug Medicare PaymentAmount | 522.92 |
| Total Drug Medicare Standardized Payment Amount | 522.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 174 |
| Number Of Medical Services | 5170 |
| Number Of Medicare Beneficiaries With Medical Services | 3853 |
| Total Medical Submitted Charge Amount | 1120537 |
| Total Medical Medicare Allowed Amount | 243413.51 |
| Total Medical Medicare Payment Amount | 184872.76 |
| Total Medical Medicare Standardized Payment Amount | 198910.6 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 865 |
| Number Of Beneficiaries Age 65 to 74 | 1514 |
| Number Of Beneficiaries Age 75 to 84 | 1060 |
| Number Of Beneficiaries Age Greater 84 | 416 |
| Number Of Female Beneficiaries | 2214 |
| Number Of Male Beneficiaries | 1641 |
| Number Of Non Hispanic White Beneficiaries | 2776 |
| Number Of Black or African American Beneficiaries | 1018 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2895 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 960 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7112 |