| National Provider Identifier [NPI]: | 1831105972 |
| Last Name Of The Provider | MCANINCH |
| First Name Of The Provider | GREGG |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2874 N CARSON ST |
| Street Address 2 Of The Provider | SUITE 215 |
| City Of The Provider | CARSON CITY |
| Zip Code Of The Provider | 897060251 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 215 |
| Number Of Services | 5602 |
| Number Of Medicare Beneficiaries | 3741 |
| Total Submitted Charge Amount | 424342.21 |
| Total Medicare Allowed Amount | 151176.5 |
| Total Medicare Payment Amount | 104707.62 |
| Total Medicare Standardized Payment Amount | 103601.64 |
| 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 | 215 |
| Number Of Medical Services | 5602 |
| Number Of Medicare Beneficiaries With Medical Services | 3741 |
| Total Medical Submitted Charge Amount | 424342.21 |
| Total Medical Medicare Allowed Amount | 151176.5 |
| Total Medical Medicare Payment Amount | 104707.62 |
| Total Medical Medicare Standardized Payment Amount | 103601.64 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 543 |
| Number Of Beneficiaries Age 65 to 74 | 1368 |
| Number Of Beneficiaries Age 75 to 84 | 1109 |
| Number Of Beneficiaries Age Greater 84 | 721 |
| Number Of Female Beneficiaries | 2141 |
| Number Of Male Beneficiaries | 1600 |
| Number Of Non Hispanic White Beneficiaries | 3228 |
| Number Of Black or African American Beneficiaries | 71 |
| Number Of AsianPacific Islander Beneficiaries | 40 |
| Number Of Hispanic Beneficiaries | 238 |
| Number Of American Indian Alaska Native Beneficiaries | 119 |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2980 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 761 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6812 |