| National Provider Identifier [NPI]: | 1821180514 |
| Last Name Of The Provider | JOHNSON |
| First Name Of The Provider | JAMES |
| 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 | 499 GLOSTER CREEK VLG STE A2 |
| Street Address 2 Of The Provider | CARDIOLOGY ASSOCIATES OF NORTH MS |
| City Of The Provider | TUPELO |
| Zip Code Of The Provider | 388014749 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 109 |
| Number Of Services | 22659 |
| Number Of Medicare Beneficiaries | 4076 |
| Total Submitted Charge Amount | 3876051 |
| Total Medicare Allowed Amount | 1030332.39 |
| Total Medicare Payment Amount | 774585.07 |
| Total Medicare Standardized Payment Amount | 832862.85 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 11571 |
| Number Of Medicare Beneficiaries With Drug Services | 444 |
| Total Drug Submitted ChargeAmount | 142786 |
| Total Drug Medicare AllowedAmount | 76229.5 |
| Total Drug Medicare PaymentAmount | 57946.65 |
| Total Drug Medicare Standardized Payment Amount | 57946.65 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 103 |
| Number Of Medical Services | 11088 |
| Number Of Medicare Beneficiaries With Medical Services | 4076 |
| Total Medical Submitted Charge Amount | 3733265 |
| Total Medical Medicare Allowed Amount | 954102.89 |
| Total Medical Medicare Payment Amount | 716638.42 |
| Total Medical Medicare Standardized Payment Amount | 774916.2 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 688 |
| Number Of Beneficiaries Age 65 to 74 | 1532 |
| Number Of Beneficiaries Age 75 to 84 | 1354 |
| Number Of Beneficiaries Age Greater 84 | 502 |
| Number Of Female Beneficiaries | 1992 |
| Number Of Male Beneficiaries | 2084 |
| Number Of Non Hispanic White Beneficiaries | 3490 |
| Number Of Black or African American Beneficiaries | 559 |
| 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 | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2984 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1092 |
| Percent Of With Atrial Fibrillation | 31 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 70 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.359 |