| National Provider Identifier [NPI]: | 1063478071 |
| Last Name Of The Provider | MCCRARY |
| First Name Of The Provider | KEVIN |
| 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 | 700 E MARSHALL AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | LONGVIEW |
| Zip Code Of The Provider | 756015580 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 267 |
| Number Of Services | 9032 |
| Number Of Medicare Beneficiaries | 4748 |
| Total Submitted Charge Amount | 1032798 |
| Total Medicare Allowed Amount | 292037.09 |
| Total Medicare Payment Amount | 222342.33 |
| Total Medicare Standardized Payment Amount | 233573.38 |
| 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 | 267 |
| Number Of Medical Services | 9032 |
| Number Of Medicare Beneficiaries With Medical Services | 4748 |
| Total Medical Submitted Charge Amount | 1032798 |
| Total Medical Medicare Allowed Amount | 292037.09 |
| Total Medical Medicare Payment Amount | 222342.33 |
| Total Medical Medicare Standardized Payment Amount | 233573.38 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1051 |
| Number Of Beneficiaries Age 65 to 74 | 1647 |
| Number Of Beneficiaries Age 75 to 84 | 1362 |
| Number Of Beneficiaries Age Greater 84 | 688 |
| Number Of Female Beneficiaries | 3014 |
| Number Of Male Beneficiaries | 1734 |
| Number Of Non Hispanic White Beneficiaries | 3600 |
| Number Of Black or African American Beneficiaries | 1009 |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 94 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3254 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1494 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.7942 |