| National Provider Identifier [NPI]: | 1780918375 |
| Last Name Of The Provider | MCGINLEY |
| First Name Of The Provider | MOLLIE |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1835 ARCH ST |
| Street Address 2 Of The Provider | APARTMENT 305 |
| City Of The Provider | PHILADELPHIA |
| Zip Code Of The Provider | 191032712 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 144 |
| Number Of Services | 47048 |
| Number Of Medicare Beneficiaries | 2311 |
| Total Submitted Charge Amount | 1586555 |
| Total Medicare Allowed Amount | 327122.68 |
| Total Medicare Payment Amount | 252662.75 |
| Total Medicare Standardized Payment Amount | 270460.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 43721 |
| Number Of Medicare Beneficiaries With Drug Services | 383 |
| Total Drug Submitted ChargeAmount | 44921 |
| Total Drug Medicare AllowedAmount | 8950.64 |
| Total Drug Medicare PaymentAmount | 6991.61 |
| Total Drug Medicare Standardized Payment Amount | 6991.61 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 141 |
| Number Of Medical Services | 3327 |
| Number Of Medicare Beneficiaries With Medical Services | 2311 |
| Total Medical Submitted Charge Amount | 1541634 |
| Total Medical Medicare Allowed Amount | 318172.04 |
| Total Medical Medicare Payment Amount | 245671.14 |
| Total Medical Medicare Standardized Payment Amount | 263468.65 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 382 |
| Number Of Beneficiaries Age 65 to 74 | 882 |
| Number Of Beneficiaries Age 75 to 84 | 691 |
| Number Of Beneficiaries Age Greater 84 | 356 |
| Number Of Female Beneficiaries | 1230 |
| Number Of Male Beneficiaries | 1081 |
| Number Of Non Hispanic White Beneficiaries | 2213 |
| Number Of Black or African American Beneficiaries | 25 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1783 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 528 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5001 |