| National Provider Identifier [NPI]: | 1508993387 |
| Last Name Of The Provider | GARRETT |
| First Name Of The Provider | JOSHUA |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 HEALTH CENTER DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | MATTOON |
| Zip Code Of The Provider | 619389253 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 240 |
| Number Of Services | 12227 |
| Number Of Medicare Beneficiaries | 4984 |
| Total Submitted Charge Amount | 1586614.8 |
| Total Medicare Allowed Amount | 381824.83 |
| Total Medicare Payment Amount | 298580.02 |
| Total Medicare Standardized Payment Amount | 305236.38 |
| 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 | 240 |
| Number Of Medical Services | 12227 |
| Number Of Medicare Beneficiaries With Medical Services | 4984 |
| Total Medical Submitted Charge Amount | 1586614.8 |
| Total Medical Medicare Allowed Amount | 381824.83 |
| Total Medical Medicare Payment Amount | 298580.02 |
| Total Medical Medicare Standardized Payment Amount | 305236.38 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 915 |
| Number Of Beneficiaries Age 65 to 74 | 1862 |
| Number Of Beneficiaries Age 75 to 84 | 1377 |
| Number Of Beneficiaries Age Greater 84 | 830 |
| Number Of Female Beneficiaries | 3079 |
| Number Of Male Beneficiaries | 1905 |
| Number Of Non Hispanic White Beneficiaries | 4871 |
| Number Of Black or African American Beneficiaries | 35 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3503 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1481 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3913 |