| National Provider Identifier [NPI]: | 1952302481 |
| Last Name Of The Provider | BUSH |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3934 WOODRUFF RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | COLUMBUS |
| Zip Code Of The Provider | 319046818 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 123 |
| Number Of Services | 50783 |
| Number Of Medicare Beneficiaries | 5105 |
| Total Submitted Charge Amount | 2780972.02 |
| Total Medicare Allowed Amount | 805738.47 |
| Total Medicare Payment Amount | 718978.69 |
| Total Medicare Standardized Payment Amount | 731088.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 371 |
| Number Of Medicare Beneficiaries With Drug Services | 235 |
| Total Drug Submitted ChargeAmount | 17853.06 |
| Total Drug Medicare AllowedAmount | 12166.39 |
| Total Drug Medicare PaymentAmount | 11654.6 |
| Total Drug Medicare Standardized Payment Amount | 11654.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 113 |
| Number Of Medical Services | 50412 |
| Number Of Medicare Beneficiaries With Medical Services | 5105 |
| Total Medical Submitted Charge Amount | 2763118.96 |
| Total Medical Medicare Allowed Amount | 793572.08 |
| Total Medical Medicare Payment Amount | 707324.09 |
| Total Medical Medicare Standardized Payment Amount | 719434.23 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 359 |
| Number Of Beneficiaries Age 65 to 74 | 2237 |
| Number Of Beneficiaries Age 75 to 84 | 1680 |
| Number Of Beneficiaries Age Greater 84 | 829 |
| Number Of Female Beneficiaries | 3059 |
| Number Of Male Beneficiaries | 2046 |
| Number Of Non Hispanic White Beneficiaries | 4435 |
| Number Of Black or African American Beneficiaries | 543 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 51 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4744 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 361 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 0.9748 |