National Provider Identifier [NPI]: |
1720043110 |
Last Name Of The Provider |
MCGARY |
First Name Of The Provider |
CHRIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
429 S LANDMARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLOOMINGTON |
Zip Code Of The Provider |
474035003 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
176 |
Number Of Services |
9251 |
Number Of Medicare Beneficiaries |
2875 |
Total Submitted Charge Amount |
941095 |
Total Medicare Allowed Amount |
344523.6 |
Total Medicare Payment Amount |
264747.79 |
Total Medicare Standardized Payment Amount |
271507.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4721 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
5403 |
Total Drug Medicare AllowedAmount |
1337.17 |
Total Drug Medicare PaymentAmount |
1030.89 |
Total Drug Medicare Standardized Payment Amount |
1030.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
172 |
Number Of Medical Services |
4530 |
Number Of Medicare Beneficiaries With Medical Services |
2875 |
Total Medical Submitted Charge Amount |
935692 |
Total Medical Medicare Allowed Amount |
343186.43 |
Total Medical Medicare Payment Amount |
263716.9 |
Total Medical Medicare Standardized Payment Amount |
270476.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
548 |
Number Of Beneficiaries Age 65 to 74 |
1051 |
Number Of Beneficiaries Age 75 to 84 |
814 |
Number Of Beneficiaries Age Greater 84 |
462 |
Number Of Female Beneficiaries |
1706 |
Number Of Male Beneficiaries |
1169 |
Number Of Non Hispanic White Beneficiaries |
2791 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2107 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
768 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4503 |