| National Provider Identifier [NPI]: | 1932150604 |
| Last Name Of The Provider | MULLENS |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1 HOSPITAL DRIVE |
| Street Address 2 Of The Provider | GLENROCHIE PROF BLDG |
| City Of The Provider | ABINGDON |
| Zip Code Of The Provider | 24210 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 234 |
| Number Of Services | 15996 |
| Number Of Medicare Beneficiaries | 7619 |
| Total Submitted Charge Amount | 1225511 |
| Total Medicare Allowed Amount | 468418.93 |
| Total Medicare Payment Amount | 349510.92 |
| Total Medicare Standardized Payment Amount | 363151.71 |
| 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 | 234 |
| Number Of Medical Services | 15996 |
| Number Of Medicare Beneficiaries With Medical Services | 7619 |
| Total Medical Submitted Charge Amount | 1225511 |
| Total Medical Medicare Allowed Amount | 468418.93 |
| Total Medical Medicare Payment Amount | 349510.92 |
| Total Medical Medicare Standardized Payment Amount | 363151.71 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1947 |
| Number Of Beneficiaries Age 65 to 74 | 2690 |
| Number Of Beneficiaries Age 75 to 84 | 2103 |
| Number Of Beneficiaries Age Greater 84 | 879 |
| Number Of Female Beneficiaries | 4911 |
| Number Of Male Beneficiaries | 2708 |
| Number Of Non Hispanic White Beneficiaries | 7459 |
| Number Of Black or African American Beneficiaries | 93 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5181 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2438 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3484 |