| National Provider Identifier [NPI]: | 1780763110 |
| Last Name Of The Provider | CREEL |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2669 SCENIC DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | ALAMOGORDO |
| Zip Code Of The Provider | 883108700 |
| State Code Of The Provider | NM |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 201 |
| Number Of Services | 20536 |
| Number Of Medicare Beneficiaries | 2547 |
| Total Submitted Charge Amount | 1849965.76 |
| Total Medicare Allowed Amount | 344591.81 |
| Total Medicare Payment Amount | 269207.75 |
| Total Medicare Standardized Payment Amount | 291190.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 15598 |
| Number Of Medicare Beneficiaries With Drug Services | 178 |
| Total Drug Submitted ChargeAmount | 23520.35 |
| Total Drug Medicare AllowedAmount | 4127.64 |
| Total Drug Medicare PaymentAmount | 3196.39 |
| Total Drug Medicare Standardized Payment Amount | 3196.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 197 |
| Number Of Medical Services | 4938 |
| Number Of Medicare Beneficiaries With Medical Services | 2547 |
| Total Medical Submitted Charge Amount | 1826445.41 |
| Total Medical Medicare Allowed Amount | 340464.17 |
| Total Medical Medicare Payment Amount | 266011.36 |
| Total Medical Medicare Standardized Payment Amount | 287994.28 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 323 |
| Number Of Beneficiaries Age 65 to 74 | 1061 |
| Number Of Beneficiaries Age 75 to 84 | 847 |
| Number Of Beneficiaries Age Greater 84 | 316 |
| Number Of Female Beneficiaries | 1632 |
| Number Of Male Beneficiaries | 915 |
| Number Of Non Hispanic White Beneficiaries | 1980 |
| Number Of Black or African American Beneficiaries | 88 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 386 |
| Number Of American Indian Alaska Native Beneficiaries | 49 |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2093 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 454 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3009 |