| National Provider Identifier [NPI]: | 1275577934 |
| Last Name Of The Provider | DOROGY |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 682 HEMLOCK ST |
| Street Address 2 Of The Provider | SUITE 490 |
| City Of The Provider | MACON |
| Zip Code Of The Provider | 312018307 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 76 |
| Number Of Services | 8583 |
| Number Of Medicare Beneficiaries | 2987 |
| Total Submitted Charge Amount | 2197668.2 |
| Total Medicare Allowed Amount | 610359.16 |
| Total Medicare Payment Amount | 453546.91 |
| Total Medicare Standardized Payment Amount | 480315.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 570 |
| Number Of Medicare Beneficiaries With Drug Services | 114 |
| Total Drug Submitted ChargeAmount | 77520 |
| Total Drug Medicare AllowedAmount | 24445.67 |
| Total Drug Medicare PaymentAmount | 18806.8 |
| Total Drug Medicare Standardized Payment Amount | 18806.8 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 74 |
| Number Of Medical Services | 8013 |
| Number Of Medicare Beneficiaries With Medical Services | 2987 |
| Total Medical Submitted Charge Amount | 2120148.2 |
| Total Medical Medicare Allowed Amount | 585913.49 |
| Total Medical Medicare Payment Amount | 434740.11 |
| Total Medical Medicare Standardized Payment Amount | 461508.24 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 396 |
| Number Of Beneficiaries Age 65 to 74 | 1154 |
| Number Of Beneficiaries Age 75 to 84 | 1015 |
| Number Of Beneficiaries Age Greater 84 | 422 |
| Number Of Female Beneficiaries | 1407 |
| Number Of Male Beneficiaries | 1580 |
| Number Of Non Hispanic White Beneficiaries | 2492 |
| Number Of Black or African American Beneficiaries | 460 |
| 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 | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2488 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 499 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 74 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6502 |