| National Provider Identifier [NPI]: | 1265470199 |
| Last Name Of The Provider | HOGAN |
| First Name Of The Provider | GERARD |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 E CARROLL ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALISBURY |
| Zip Code Of The Provider | 218015422 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 256 |
| Number Of Services | 22349 |
| Number Of Medicare Beneficiaries | 6193 |
| Total Submitted Charge Amount | 1728057.3 |
| Total Medicare Allowed Amount | 656387.66 |
| Total Medicare Payment Amount | 511241.43 |
| Total Medicare Standardized Payment Amount | 506686.57 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 11838 |
| Number Of Medicare Beneficiaries With Drug Services | 199 |
| Total Drug Submitted ChargeAmount | 6357.3 |
| Total Drug Medicare AllowedAmount | 4267.22 |
| Total Drug Medicare PaymentAmount | 3294.09 |
| Total Drug Medicare Standardized Payment Amount | 3294.09 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 254 |
| Number Of Medical Services | 10511 |
| Number Of Medicare Beneficiaries With Medical Services | 6193 |
| Total Medical Submitted Charge Amount | 1721700 |
| Total Medical Medicare Allowed Amount | 652120.44 |
| Total Medical Medicare Payment Amount | 507947.34 |
| Total Medical Medicare Standardized Payment Amount | 503392.48 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 923 |
| Number Of Beneficiaries Age 65 to 74 | 2528 |
| Number Of Beneficiaries Age 75 to 84 | 1903 |
| Number Of Beneficiaries Age Greater 84 | 839 |
| Number Of Female Beneficiaries | 3875 |
| Number Of Male Beneficiaries | 2318 |
| Number Of Non Hispanic White Beneficiaries | 5017 |
| Number Of Black or African American Beneficiaries | 1041 |
| Number Of AsianPacific Islander Beneficiaries | 38 |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4810 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1383 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.597 |