| National Provider Identifier [NPI]: | 1972563419 |
| Last Name Of The Provider | CAMPBELL |
| First Name Of The Provider | GREGORY |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2825 PARKLAWN DR |
| Street Address 2 Of The Provider | RADIOLOGY DEPT. |
| City Of The Provider | MIDWEST CITY |
| Zip Code Of The Provider | 731104201 |
| State Code Of The Provider | OK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 169 |
| Number Of Services | 12871 |
| Number Of Medicare Beneficiaries | 5972 |
| Total Submitted Charge Amount | 1010335 |
| Total Medicare Allowed Amount | 299035.25 |
| Total Medicare Payment Amount | 232287.49 |
| Total Medicare Standardized Payment Amount | 246394.66 |
| 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 | 169 |
| Number Of Medical Services | 12871 |
| Number Of Medicare Beneficiaries With Medical Services | 5972 |
| Total Medical Submitted Charge Amount | 1010335 |
| Total Medical Medicare Allowed Amount | 299035.25 |
| Total Medical Medicare Payment Amount | 232287.49 |
| Total Medical Medicare Standardized Payment Amount | 246394.66 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1255 |
| Number Of Beneficiaries Age 65 to 74 | 2248 |
| Number Of Beneficiaries Age 75 to 84 | 1700 |
| Number Of Beneficiaries Age Greater 84 | 769 |
| Number Of Female Beneficiaries | 4241 |
| Number Of Male Beneficiaries | 1731 |
| Number Of Non Hispanic White Beneficiaries | 4822 |
| Number Of Black or African American Beneficiaries | 597 |
| Number Of AsianPacific Islander Beneficiaries | 48 |
| Number Of Hispanic Beneficiaries | 96 |
| Number Of American Indian Alaska Native Beneficiaries | 343 |
| Number Of Beneficiaries With Race Not Else where Classified | 66 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4293 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1679 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.511 |