| National Provider Identifier [NPI]: | 1245233352 |
| Last Name Of The Provider | MCGOUGH |
| First Name Of The Provider | MARTIN |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1701 SOUTH BLVD E |
| Street Address 2 Of The Provider | STE 390 |
| City Of The Provider | ROCHESTER HILLS |
| Zip Code Of The Provider | 483076117 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 51 |
| Number Of Services | 9401 |
| Number Of Medicare Beneficiaries | 3795 |
| Total Submitted Charge Amount | 1516956 |
| Total Medicare Allowed Amount | 730133.04 |
| Total Medicare Payment Amount | 547166.83 |
| Total Medicare Standardized Payment Amount | 541462.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 872 |
| Number Of Medicare Beneficiaries With Drug Services | 225 |
| Total Drug Submitted ChargeAmount | 64902 |
| Total Drug Medicare AllowedAmount | 44740.94 |
| Total Drug Medicare PaymentAmount | 34921.75 |
| Total Drug Medicare Standardized Payment Amount | 34921.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 46 |
| Number Of Medical Services | 8529 |
| Number Of Medicare Beneficiaries With Medical Services | 3795 |
| Total Medical Submitted Charge Amount | 1452054 |
| Total Medical Medicare Allowed Amount | 685392.1 |
| Total Medical Medicare Payment Amount | 512245.08 |
| Total Medical Medicare Standardized Payment Amount | 506540.3 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 298 |
| Number Of Beneficiaries Age 65 to 74 | 1301 |
| Number Of Beneficiaries Age 75 to 84 | 1335 |
| Number Of Beneficiaries Age Greater 84 | 861 |
| Number Of Female Beneficiaries | 2035 |
| Number Of Male Beneficiaries | 1760 |
| Number Of Non Hispanic White Beneficiaries | 3479 |
| Number Of Black or African American Beneficiaries | 82 |
| Number Of AsianPacific Islander Beneficiaries | 88 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 102 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3253 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 542 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 68 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7481 |