| National Provider Identifier [NPI]: | 1194926493 |
| Last Name Of The Provider | GREGORY |
| First Name Of The Provider | ADAM |
| 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 | 1701 SENATE BLVD |
| Street Address 2 Of The Provider | SUITE 1204A |
| City Of The Provider | INDIANAPOLIS |
| Zip Code Of The Provider | 462021239 |
| 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 | 184 |
| Number Of Services | 4896 |
| Number Of Medicare Beneficiaries | 2905 |
| Total Submitted Charge Amount | 532985.75 |
| Total Medicare Allowed Amount | 136272.44 |
| Total Medicare Payment Amount | 101677.78 |
| Total Medicare Standardized Payment Amount | 109694.37 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 948 |
| Number Of Medicare Beneficiaries With Drug Services | 29 |
| Total Drug Submitted ChargeAmount | 7453.75 |
| Total Drug Medicare AllowedAmount | 746.85 |
| Total Drug Medicare PaymentAmount | 560.06 |
| Total Drug Medicare Standardized Payment Amount | 560.06 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 181 |
| Number Of Medical Services | 3948 |
| Number Of Medicare Beneficiaries With Medical Services | 2905 |
| Total Medical Submitted Charge Amount | 525532 |
| Total Medical Medicare Allowed Amount | 135525.59 |
| Total Medical Medicare Payment Amount | 101117.72 |
| Total Medical Medicare Standardized Payment Amount | 109134.31 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 647 |
| Number Of Beneficiaries Age 65 to 74 | 1021 |
| Number Of Beneficiaries Age 75 to 84 | 790 |
| Number Of Beneficiaries Age Greater 84 | 447 |
| Number Of Female Beneficiaries | 1678 |
| Number Of Male Beneficiaries | 1227 |
| Number Of Non Hispanic White Beneficiaries | 2738 |
| Number Of Black or African American Beneficiaries | 82 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 37 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2118 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 787 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.481 |