| National Provider Identifier [NPI]: | 1659312437 |
| Last Name Of The Provider | MCNEELY |
| First Name Of The Provider | WARREN |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 144 |
| Number Of Services | 51808 |
| Number Of Medicare Beneficiaries | 5160 |
| Total Submitted Charge Amount | 1815206.98 |
| Total Medicare Allowed Amount | 528123.8 |
| Total Medicare Payment Amount | 394037.13 |
| Total Medicare Standardized Payment Amount | 377434.99 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 44621 |
| Number Of Medicare Beneficiaries With Drug Services | 428 |
| Total Drug Submitted ChargeAmount | 10262.83 |
| Total Drug Medicare AllowedAmount | 8279.07 |
| Total Drug Medicare PaymentAmount | 5840.27 |
| Total Drug Medicare Standardized Payment Amount | 5840.27 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 143 |
| Number Of Medical Services | 7187 |
| Number Of Medicare Beneficiaries With Medical Services | 5160 |
| Total Medical Submitted Charge Amount | 1804944.15 |
| Total Medical Medicare Allowed Amount | 519844.73 |
| Total Medical Medicare Payment Amount | 388196.86 |
| Total Medical Medicare Standardized Payment Amount | 371594.72 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 546 |
| Number Of Beneficiaries Age 65 to 74 | 2132 |
| Number Of Beneficiaries Age 75 to 84 | 1612 |
| Number Of Beneficiaries Age Greater 84 | 870 |
| Number Of Female Beneficiaries | 3129 |
| Number Of Male Beneficiaries | 2031 |
| Number Of Non Hispanic White Beneficiaries | 4312 |
| Number Of Black or African American Beneficiaries | 671 |
| Number Of AsianPacific Islander Beneficiaries | 62 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4558 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 602 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4424 |