| National Provider Identifier [NPI]: | 1053496307 |
| Last Name Of The Provider | GLOWACKI |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 201 E PARKER RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MORGANTON |
| Zip Code Of The Provider | 286555107 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 130 |
| Number Of Services | 5739 |
| Number Of Medicare Beneficiaries | 2726 |
| Total Submitted Charge Amount | 591059 |
| Total Medicare Allowed Amount | 140419.92 |
| Total Medicare Payment Amount | 111101.73 |
| Total Medicare Standardized Payment Amount | 117131.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1062 |
| Number Of Medicare Beneficiaries With Drug Services | 12 |
| Total Drug Submitted ChargeAmount | 1284 |
| Total Drug Medicare AllowedAmount | 274.15 |
| Total Drug Medicare PaymentAmount | 214.93 |
| Total Drug Medicare Standardized Payment Amount | 214.93 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 128 |
| Number Of Medical Services | 4677 |
| Number Of Medicare Beneficiaries With Medical Services | 2726 |
| Total Medical Submitted Charge Amount | 589775 |
| Total Medical Medicare Allowed Amount | 140145.77 |
| Total Medical Medicare Payment Amount | 110886.8 |
| Total Medical Medicare Standardized Payment Amount | 116916.39 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 762 |
| Number Of Beneficiaries Age 65 to 74 | 953 |
| Number Of Beneficiaries Age 75 to 84 | 679 |
| Number Of Beneficiaries Age Greater 84 | 332 |
| Number Of Female Beneficiaries | 1788 |
| Number Of Male Beneficiaries | 938 |
| Number Of Non Hispanic White Beneficiaries | 2525 |
| Number Of Black or African American Beneficiaries | 147 |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1710 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1016 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3898 |