| National Provider Identifier [NPI]: | 1033181839 |
| Last Name Of The Provider | DOREY |
| First Name Of The Provider | JASON |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2055 NORMANDIE DR |
| Street Address 2 Of The Provider | 108 |
| City Of The Provider | MONTGOMERY |
| Zip Code Of The Provider | 361112732 |
| 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 | 250 |
| Number Of Services | 7482 |
| Number Of Medicare Beneficiaries | 4549 |
| Total Submitted Charge Amount | 918185.66 |
| Total Medicare Allowed Amount | 260674.31 |
| Total Medicare Payment Amount | 187927.45 |
| Total Medicare Standardized Payment Amount | 202857.06 |
| 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 | 250 |
| Number Of Medical Services | 7482 |
| Number Of Medicare Beneficiaries With Medical Services | 4549 |
| Total Medical Submitted Charge Amount | 918185.66 |
| Total Medical Medicare Allowed Amount | 260674.31 |
| Total Medical Medicare Payment Amount | 187927.45 |
| Total Medical Medicare Standardized Payment Amount | 202857.06 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1163 |
| Number Of Beneficiaries Age 65 to 74 | 1524 |
| Number Of Beneficiaries Age 75 to 84 | 1236 |
| Number Of Beneficiaries Age Greater 84 | 626 |
| Number Of Female Beneficiaries | 2704 |
| Number Of Male Beneficiaries | 1845 |
| Number Of Non Hispanic White Beneficiaries | 3021 |
| Number Of Black or African American Beneficiaries | 1468 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3140 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1409 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7973 |