| National Provider Identifier [NPI]: | 1114030137 |
| Last Name Of The Provider | CIRILLI |
| First Name Of The Provider | GARY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1405 N STATE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 392021642 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 170 |
| Number Of Services | 8097 |
| Number Of Medicare Beneficiaries | 5603 |
| Total Submitted Charge Amount | 993098 |
| Total Medicare Allowed Amount | 217510.42 |
| Total Medicare Payment Amount | 172106.31 |
| Total Medicare Standardized Payment Amount | 183498.22 |
| 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 | 170 |
| Number Of Medical Services | 8097 |
| Number Of Medicare Beneficiaries With Medical Services | 5603 |
| Total Medical Submitted Charge Amount | 993098 |
| Total Medical Medicare Allowed Amount | 217510.42 |
| Total Medical Medicare Payment Amount | 172106.31 |
| Total Medical Medicare Standardized Payment Amount | 183498.22 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 872 |
| Number Of Beneficiaries Age 65 to 74 | 2177 |
| Number Of Beneficiaries Age 75 to 84 | 1820 |
| Number Of Beneficiaries Age Greater 84 | 734 |
| Number Of Female Beneficiaries | 3872 |
| Number Of Male Beneficiaries | 1731 |
| Number Of Non Hispanic White Beneficiaries | 4226 |
| Number Of Black or African American Beneficiaries | 1315 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 12 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4291 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1312 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4156 |