| National Provider Identifier [NPI]: | 1992764690 |
| Last Name Of The Provider | SHIREY |
| First Name Of The Provider | NEAL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2122 MANCHESTER EXPY |
| Street Address 2 Of The Provider | |
| City Of The Provider | COLUMBUS |
| Zip Code Of The Provider | 319046878 |
| 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 | 308 |
| Number Of Services | 6932 |
| Number Of Medicare Beneficiaries | 3662 |
| Total Submitted Charge Amount | 1135699 |
| Total Medicare Allowed Amount | 318540.07 |
| Total Medicare Payment Amount | 245040.91 |
| Total Medicare Standardized Payment Amount | 254131.22 |
| 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 | 308 |
| Number Of Medical Services | 6932 |
| Number Of Medicare Beneficiaries With Medical Services | 3662 |
| Total Medical Submitted Charge Amount | 1135699 |
| Total Medical Medicare Allowed Amount | 318540.07 |
| Total Medical Medicare Payment Amount | 245040.91 |
| Total Medical Medicare Standardized Payment Amount | 254131.22 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 658 |
| Number Of Beneficiaries Age 65 to 74 | 1269 |
| Number Of Beneficiaries Age 75 to 84 | 1075 |
| Number Of Beneficiaries Age Greater 84 | 660 |
| Number Of Female Beneficiaries | 2194 |
| Number Of Male Beneficiaries | 1468 |
| Number Of Non Hispanic White Beneficiaries | 2472 |
| Number Of Black or African American Beneficiaries | 1068 |
| Number Of AsianPacific Islander Beneficiaries | 29 |
| Number Of Hispanic Beneficiaries | 64 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2802 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 860 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.8663 |