| National Provider Identifier [NPI]: | 1881891786 |
| Last Name Of The Provider | COLEMAN |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1203 24TH AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MERIDIAN |
| Zip Code Of The Provider | 393013926 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 244 |
| Number Of Services | 12167 |
| Number Of Medicare Beneficiaries | 6065 |
| Total Submitted Charge Amount | 1722119 |
| Total Medicare Allowed Amount | 316183.26 |
| Total Medicare Payment Amount | 236582.1 |
| Total Medicare Standardized Payment Amount | 253199.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 379 |
| Number Of Medicare Beneficiaries With Drug Services | 21 |
| Total Drug Submitted ChargeAmount | 1895 |
| Total Drug Medicare AllowedAmount | 751.61 |
| Total Drug Medicare PaymentAmount | 584.35 |
| Total Drug Medicare Standardized Payment Amount | 584.35 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 243 |
| Number Of Medical Services | 11788 |
| Number Of Medicare Beneficiaries With Medical Services | 6065 |
| Total Medical Submitted Charge Amount | 1720224 |
| Total Medical Medicare Allowed Amount | 315431.65 |
| Total Medical Medicare Payment Amount | 235997.75 |
| Total Medical Medicare Standardized Payment Amount | 252614.96 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1426 |
| Number Of Beneficiaries Age 65 to 74 | 2070 |
| Number Of Beneficiaries Age 75 to 84 | 1659 |
| Number Of Beneficiaries Age Greater 84 | 910 |
| Number Of Female Beneficiaries | 3585 |
| Number Of Male Beneficiaries | 2480 |
| Number Of Non Hispanic White Beneficiaries | 4058 |
| Number Of Black or African American Beneficiaries | 1885 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 30 |
| Number Of American Indian Alaska Native Beneficiaries | 63 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3669 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2396 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6448 |