| National Provider Identifier [NPI]: | 1992711006 |
| Last Name Of The Provider | GATES |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 70 DOCTORS PARK |
| Street Address 2 Of The Provider | |
| City Of The Provider | CAPE GIRARDEAU |
| Zip Code Of The Provider | 637034928 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 180 |
| Number Of Services | 16642 |
| Number Of Medicare Beneficiaries | 9657 |
| Total Submitted Charge Amount | 1291123 |
| Total Medicare Allowed Amount | 366519.46 |
| Total Medicare Payment Amount | 279274.25 |
| Total Medicare Standardized Payment Amount | 295568.02 |
| 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 | 180 |
| Number Of Medical Services | 16642 |
| Number Of Medicare Beneficiaries With Medical Services | 9657 |
| Total Medical Submitted Charge Amount | 1291123 |
| Total Medical Medicare Allowed Amount | 366519.46 |
| Total Medical Medicare Payment Amount | 279274.25 |
| Total Medical Medicare Standardized Payment Amount | 295568.02 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 2390 |
| Number Of Beneficiaries Age 65 to 74 | 3447 |
| Number Of Beneficiaries Age 75 to 84 | 2598 |
| Number Of Beneficiaries Age Greater 84 | 1222 |
| Number Of Female Beneficiaries | 5780 |
| Number Of Male Beneficiaries | 3877 |
| Number Of Non Hispanic White Beneficiaries | 9206 |
| Number Of Black or African American Beneficiaries | 335 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 45 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6403 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3254 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3436 |