| National Provider Identifier [NPI]: | 1790960144 |
| Last Name Of The Provider | MCGEHEE |
| First Name Of The Provider | BLAKE |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1601 LAMY LN |
| Street Address 2 Of The Provider | |
| City Of The Provider | MONROE |
| Zip Code Of The Provider | 712013735 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 186 |
| Number Of Services | 6981 |
| Number Of Medicare Beneficiaries | 3899 |
| Total Submitted Charge Amount | 1009410 |
| Total Medicare Allowed Amount | 258290.64 |
| Total Medicare Payment Amount | 192914.88 |
| Total Medicare Standardized Payment Amount | 201302.1 |
| 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 | 6981 |
| Number Of Medicare Beneficiaries With Medical Services | 3899 |
| Total Medical Submitted Charge Amount | 1009410 |
| Total Medical Medicare Allowed Amount | 258290.64 |
| Total Medical Medicare Payment Amount | 192914.88 |
| Total Medical Medicare Standardized Payment Amount | 201302.1 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 818 |
| Number Of Beneficiaries Age 65 to 74 | 1352 |
| Number Of Beneficiaries Age 75 to 84 | 1179 |
| Number Of Beneficiaries Age Greater 84 | 550 |
| Number Of Female Beneficiaries | 2274 |
| Number Of Male Beneficiaries | 1625 |
| Number Of Non Hispanic White Beneficiaries | 2749 |
| Number Of Black or African American Beneficiaries | 1101 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2386 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1513 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9047 |