| National Provider Identifier [NPI]: | 1831310861 |
| Last Name Of The Provider | EVANS |
| First Name Of The Provider | MARCUS |
| Middle Initial Of The Provider | C |
| 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 | 186 |
| Number Of Services | 6982 |
| Number Of Medicare Beneficiaries | 4210 |
| Total Submitted Charge Amount | 658153 |
| Total Medicare Allowed Amount | 170956.63 |
| Total Medicare Payment Amount | 128941.53 |
| Total Medicare Standardized Payment Amount | 135817.76 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 352 |
| Number Of Medicare Beneficiaries With Drug Services | 14 |
| Total Drug Submitted ChargeAmount | 2090 |
| Total Drug Medicare AllowedAmount | 274.95 |
| Total Drug Medicare PaymentAmount | 198.43 |
| Total Drug Medicare Standardized Payment Amount | 198.43 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 182 |
| Number Of Medical Services | 6630 |
| Number Of Medicare Beneficiaries With Medical Services | 4210 |
| Total Medical Submitted Charge Amount | 656063 |
| Total Medical Medicare Allowed Amount | 170681.68 |
| Total Medical Medicare Payment Amount | 128743.1 |
| Total Medical Medicare Standardized Payment Amount | 135619.33 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 976 |
| Number Of Beneficiaries Age 65 to 74 | 1472 |
| Number Of Beneficiaries Age 75 to 84 | 1217 |
| Number Of Beneficiaries Age Greater 84 | 545 |
| Number Of Female Beneficiaries | 2566 |
| Number Of Male Beneficiaries | 1644 |
| Number Of Non Hispanic White Beneficiaries | 2858 |
| Number Of Black or African American Beneficiaries | 1295 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2919 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1291 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9881 |