| National Provider Identifier [NPI]: | 1972542280 |
| Last Name Of The Provider | GALLAGHER |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 901 ROUTE 168 |
| Street Address 2 Of The Provider | WASHINGTON PROFESSIONAL CAMPUS II, SUITES 301-305 |
| City Of The Provider | TURNERSVILLE |
| Zip Code Of The Provider | 080123210 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 162 |
| Number Of Services | 24263.6 |
| Number Of Medicare Beneficiaries | 2682 |
| Total Submitted Charge Amount | 2418929 |
| Total Medicare Allowed Amount | 508979.66 |
| Total Medicare Payment Amount | 388204.98 |
| Total Medicare Standardized Payment Amount | 361623.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 20625.6 |
| Number Of Medicare Beneficiaries With Drug Services | 361 |
| Total Drug Submitted ChargeAmount | 41430 |
| Total Drug Medicare AllowedAmount | 9234.36 |
| Total Drug Medicare PaymentAmount | 7230.53 |
| Total Drug Medicare Standardized Payment Amount | 7230.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 159 |
| Number Of Medical Services | 3638 |
| Number Of Medicare Beneficiaries With Medical Services | 2681 |
| Total Medical Submitted Charge Amount | 2377499 |
| Total Medical Medicare Allowed Amount | 499745.3 |
| Total Medical Medicare Payment Amount | 380974.45 |
| Total Medical Medicare Standardized Payment Amount | 354393.06 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 336 |
| Number Of Beneficiaries Age 65 to 74 | 1019 |
| Number Of Beneficiaries Age 75 to 84 | 824 |
| Number Of Beneficiaries Age Greater 84 | 503 |
| Number Of Female Beneficiaries | 1587 |
| Number Of Male Beneficiaries | 1095 |
| Number Of Non Hispanic White Beneficiaries | 2263 |
| Number Of Black or African American Beneficiaries | 260 |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 62 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2350 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 332 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.6554 |