| National Provider Identifier [NPI]: | 1467431262 |
| Last Name Of The Provider | MULCAHY |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 166 4TH ST E |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAINT PAUL |
| Zip Code Of The Provider | 551011421 |
| State Code Of The Provider | MN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 177 |
| Number Of Services | 6787 |
| Number Of Medicare Beneficiaries | 3262 |
| Total Submitted Charge Amount | 432303.7 |
| Total Medicare Allowed Amount | 147856.72 |
| Total Medicare Payment Amount | 118676.17 |
| Total Medicare Standardized Payment Amount | 122917.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 1848 |
| Number Of Medicare Beneficiaries With Drug Services | 15 |
| Total Drug Submitted ChargeAmount | 2772 |
| Total Drug Medicare AllowedAmount | 346.43 |
| Total Drug Medicare PaymentAmount | 271.6 |
| Total Drug Medicare Standardized Payment Amount | 271.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 176 |
| Number Of Medical Services | 4939 |
| Number Of Medicare Beneficiaries With Medical Services | 3262 |
| Total Medical Submitted Charge Amount | 429531.7 |
| Total Medical Medicare Allowed Amount | 147510.29 |
| Total Medical Medicare Payment Amount | 118404.57 |
| Total Medical Medicare Standardized Payment Amount | 122645.89 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 663 |
| Number Of Beneficiaries Age 65 to 74 | 1105 |
| Number Of Beneficiaries Age 75 to 84 | 927 |
| Number Of Beneficiaries Age Greater 84 | 567 |
| Number Of Female Beneficiaries | 2174 |
| Number Of Male Beneficiaries | 1088 |
| Number Of Non Hispanic White Beneficiaries | 2950 |
| Number Of Black or African American Beneficiaries | 113 |
| Number Of AsianPacific Islander Beneficiaries | 79 |
| Number Of Hispanic Beneficiaries | 58 |
| Number Of American Indian Alaska Native Beneficiaries | 21 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2562 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 700 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 45 |
| Percent Of With Hypertension | 60 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.4538 |