| National Provider Identifier [NPI]: | 1497716716 |
| Last Name Of The Provider | TAGGART |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 MERCY WAY |
| Street Address 2 Of The Provider | DEPT OF RADIOLOGY |
| City Of The Provider | JOPLIN |
| Zip Code Of The Provider | 648044524 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 186 |
| Number Of Services | 7076 |
| Number Of Medicare Beneficiaries | 3751 |
| Total Submitted Charge Amount | 551200.4 |
| Total Medicare Allowed Amount | 186372.96 |
| Total Medicare Payment Amount | 144322.94 |
| Total Medicare Standardized Payment Amount | 152308.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 186 |
| Number Of Medical Services | 7076 |
| Number Of Medicare Beneficiaries With Medical Services | 3751 |
| Total Medical Submitted Charge Amount | 551200.4 |
| Total Medical Medicare Allowed Amount | 186372.96 |
| Total Medical Medicare Payment Amount | 144322.94 |
| Total Medical Medicare Standardized Payment Amount | 152308.82 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 820 |
| Number Of Beneficiaries Age 65 to 74 | 1306 |
| Number Of Beneficiaries Age 75 to 84 | 1126 |
| Number Of Beneficiaries Age Greater 84 | 499 |
| Number Of Female Beneficiaries | 2335 |
| Number Of Male Beneficiaries | 1416 |
| Number Of Non Hispanic White Beneficiaries | 3582 |
| Number Of Black or African American Beneficiaries | 34 |
| Number Of AsianPacific Islander Beneficiaries | 12 |
| Number Of Hispanic Beneficiaries | 35 |
| Number Of American Indian Alaska Native Beneficiaries | 73 |
| Number Of Beneficiaries With Race Not Else where Classified | 15 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2712 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1039 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6451 |