| National Provider Identifier [NPI]: | 1083666705 |
| Last Name Of The Provider | COLE |
| First Name Of The Provider | JASON |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6701 AIRPORT BLVD |
| Street Address 2 Of The Provider | SUITE D-330 |
| City Of The Provider | MOBILE |
| Zip Code Of The Provider | 366086705 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 97 |
| Number Of Services | 42152 |
| Number Of Medicare Beneficiaries | 3116 |
| Total Submitted Charge Amount | 2372769 |
| Total Medicare Allowed Amount | 1185018.54 |
| Total Medicare Payment Amount | 891710.63 |
| Total Medicare Standardized Payment Amount | 952903.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 31866 |
| Number Of Medicare Beneficiaries With Drug Services | 505 |
| Total Drug Submitted ChargeAmount | 75997 |
| Total Drug Medicare AllowedAmount | 37306.92 |
| Total Drug Medicare PaymentAmount | 28402.98 |
| Total Drug Medicare Standardized Payment Amount | 28402.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 91 |
| Number Of Medical Services | 10286 |
| Number Of Medicare Beneficiaries With Medical Services | 3116 |
| Total Medical Submitted Charge Amount | 2296772 |
| Total Medical Medicare Allowed Amount | 1147711.62 |
| Total Medical Medicare Payment Amount | 863307.65 |
| Total Medical Medicare Standardized Payment Amount | 924500.71 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 545 |
| Number Of Beneficiaries Age 65 to 74 | 1205 |
| Number Of Beneficiaries Age 75 to 84 | 968 |
| Number Of Beneficiaries Age Greater 84 | 398 |
| Number Of Female Beneficiaries | 1674 |
| Number Of Male Beneficiaries | 1442 |
| Number Of Non Hispanic White Beneficiaries | 2236 |
| Number Of Black or African American Beneficiaries | 803 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | 31 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2518 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 598 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 70 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5611 |