| National Provider Identifier [NPI]: | 1306093851 |
| Last Name Of The Provider | GREGG |
| First Name Of The Provider | ADAM |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3600 E HARRY ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | WICHITA |
| Zip Code Of The Provider | 672183713 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 200 |
| Number Of Services | 7114 |
| Number Of Medicare Beneficiaries | 4958 |
| Total Submitted Charge Amount | 589284 |
| Total Medicare Allowed Amount | 193440.51 |
| Total Medicare Payment Amount | 152430.25 |
| Total Medicare Standardized Payment Amount | 159542.09 |
| 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 | 200 |
| Number Of Medical Services | 7114 |
| Number Of Medicare Beneficiaries With Medical Services | 4958 |
| Total Medical Submitted Charge Amount | 589284 |
| Total Medical Medicare Allowed Amount | 193440.51 |
| Total Medical Medicare Payment Amount | 152430.25 |
| Total Medical Medicare Standardized Payment Amount | 159542.09 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 926 |
| Number Of Beneficiaries Age 65 to 74 | 1665 |
| Number Of Beneficiaries Age 75 to 84 | 1528 |
| Number Of Beneficiaries Age Greater 84 | 839 |
| Number Of Female Beneficiaries | 3021 |
| Number Of Male Beneficiaries | 1937 |
| Number Of Non Hispanic White Beneficiaries | 4457 |
| Number Of Black or African American Beneficiaries | 249 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 147 |
| Number Of American Indian Alaska Native Beneficiaries | 38 |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3779 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1179 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.675 |