| National Provider Identifier [NPI]: | 1578564118 |
| Last Name Of The Provider | MCMILLAN |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5508 SUMMERHILL RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TEXARKANA |
| Zip Code Of The Provider | 755031822 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 202 |
| Number Of Services | 14810 |
| Number Of Medicare Beneficiaries | 3845 |
| Total Submitted Charge Amount | 1078280.08 |
| Total Medicare Allowed Amount | 260372.08 |
| Total Medicare Payment Amount | 192601.36 |
| Total Medicare Standardized Payment Amount | 205409.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 7213 |
| Number Of Medicare Beneficiaries With Drug Services | 96 |
| Total Drug Submitted ChargeAmount | 9468 |
| Total Drug Medicare AllowedAmount | 2038.95 |
| Total Drug Medicare PaymentAmount | 1584.07 |
| Total Drug Medicare Standardized Payment Amount | 1584.07 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 200 |
| Number Of Medical Services | 7597 |
| Number Of Medicare Beneficiaries With Medical Services | 3844 |
| Total Medical Submitted Charge Amount | 1068812.08 |
| Total Medical Medicare Allowed Amount | 258333.13 |
| Total Medical Medicare Payment Amount | 191017.29 |
| Total Medical Medicare Standardized Payment Amount | 203825.32 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 886 |
| Number Of Beneficiaries Age 65 to 74 | 1433 |
| Number Of Beneficiaries Age 75 to 84 | 1017 |
| Number Of Beneficiaries Age Greater 84 | 509 |
| Number Of Female Beneficiaries | 2505 |
| Number Of Male Beneficiaries | 1340 |
| Number Of Non Hispanic White Beneficiaries | 2949 |
| Number Of Black or African American Beneficiaries | 809 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 41 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2501 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1344 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.5323 |