| National Provider Identifier [NPI]: | 1730174772 |
| Last Name Of The Provider | OCONNOR |
| First Name Of The Provider | DOUGLAS |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6 RIVERVIEW PLZ |
| Street Address 2 Of The Provider | |
| City Of The Provider | RED BANK |
| Zip Code Of The Provider | 077011863 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 174 |
| Number Of Services | 17286 |
| Number Of Medicare Beneficiaries | 4065 |
| Total Submitted Charge Amount | 1791450 |
| Total Medicare Allowed Amount | 594267.15 |
| Total Medicare Payment Amount | 491940.8 |
| Total Medicare Standardized Payment Amount | 453001.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 10205 |
| Number Of Medicare Beneficiaries With Drug Services | 164 |
| Total Drug Submitted ChargeAmount | 14365 |
| Total Drug Medicare AllowedAmount | 4155.29 |
| Total Drug Medicare PaymentAmount | 3247.98 |
| Total Drug Medicare Standardized Payment Amount | 3247.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 171 |
| Number Of Medical Services | 7081 |
| Number Of Medicare Beneficiaries With Medical Services | 4064 |
| Total Medical Submitted Charge Amount | 1777085 |
| Total Medical Medicare Allowed Amount | 590111.86 |
| Total Medical Medicare Payment Amount | 488692.82 |
| Total Medical Medicare Standardized Payment Amount | 449753.51 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 382 |
| Number Of Beneficiaries Age 65 to 74 | 1872 |
| Number Of Beneficiaries Age 75 to 84 | 1251 |
| Number Of Beneficiaries Age Greater 84 | 560 |
| Number Of Female Beneficiaries | 2922 |
| Number Of Male Beneficiaries | 1143 |
| Number Of Non Hispanic White Beneficiaries | 3667 |
| Number Of Black or African American Beneficiaries | 159 |
| Number Of AsianPacific Islander Beneficiaries | 67 |
| Number Of Hispanic Beneficiaries | 108 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 64 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3732 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 333 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.2907 |