| National Provider Identifier [NPI]: | 1063400679 |
| Last Name Of The Provider | MCCARTHY |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 322 E ANTIETAM ST |
| Street Address 2 Of The Provider | SUITE 106 |
| City Of The Provider | HAGERSTOWN |
| Zip Code Of The Provider | 217405794 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 187 |
| Number Of Services | 25270 |
| Number Of Medicare Beneficiaries | 4028 |
| Total Submitted Charge Amount | 1547583.05 |
| Total Medicare Allowed Amount | 578187.74 |
| Total Medicare Payment Amount | 468427.15 |
| Total Medicare Standardized Payment Amount | 463669.87 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 18313 |
| Number Of Medicare Beneficiaries With Drug Services | 244 |
| Total Drug Submitted ChargeAmount | 20724.05 |
| Total Drug Medicare AllowedAmount | 5623.6 |
| Total Drug Medicare PaymentAmount | 4345.76 |
| Total Drug Medicare Standardized Payment Amount | 4345.76 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 185 |
| Number Of Medical Services | 6957 |
| Number Of Medicare Beneficiaries With Medical Services | 4028 |
| Total Medical Submitted Charge Amount | 1526859 |
| Total Medical Medicare Allowed Amount | 572564.14 |
| Total Medical Medicare Payment Amount | 464081.39 |
| Total Medical Medicare Standardized Payment Amount | 459324.11 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 675 |
| Number Of Beneficiaries Age 65 to 74 | 1644 |
| Number Of Beneficiaries Age 75 to 84 | 1151 |
| Number Of Beneficiaries Age Greater 84 | 558 |
| Number Of Female Beneficiaries | 2847 |
| Number Of Male Beneficiaries | 1181 |
| Number Of Non Hispanic White Beneficiaries | 3794 |
| Number Of Black or African American Beneficiaries | 148 |
| Number Of AsianPacific Islander Beneficiaries | 21 |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3238 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 790 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3884 |