| National Provider Identifier [NPI]: | 1871561076 |
| Last Name Of The Provider | GRECO |
| First Name Of The Provider | MICHELE |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 707 E MAIN ST |
| Street Address 2 Of The Provider | RADIOLOGIC ASSOCIATES, PC |
| City Of The Provider | MIDDLETOWN |
| Zip Code Of The Provider | 109402650 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 135 |
| Number Of Services | 9349 |
| Number Of Medicare Beneficiaries | 4018 |
| Total Submitted Charge Amount | 918321.93 |
| Total Medicare Allowed Amount | 369014.17 |
| Total Medicare Payment Amount | 296383.35 |
| Total Medicare Standardized Payment Amount | 280394.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2476 |
| Number Of Medicare Beneficiaries With Drug Services | 63 |
| Total Drug Submitted ChargeAmount | 1942.74 |
| Total Drug Medicare AllowedAmount | 1841.82 |
| Total Drug Medicare PaymentAmount | 1444.01 |
| Total Drug Medicare Standardized Payment Amount | 1444.01 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 133 |
| Number Of Medical Services | 6873 |
| Number Of Medicare Beneficiaries With Medical Services | 4017 |
| Total Medical Submitted Charge Amount | 916379.19 |
| Total Medical Medicare Allowed Amount | 367172.35 |
| Total Medical Medicare Payment Amount | 294939.34 |
| Total Medical Medicare Standardized Payment Amount | 278950.37 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 569 |
| Number Of Beneficiaries Age 65 to 74 | 1831 |
| Number Of Beneficiaries Age 75 to 84 | 1107 |
| Number Of Beneficiaries Age Greater 84 | 511 |
| Number Of Female Beneficiaries | 3046 |
| Number Of Male Beneficiaries | 972 |
| Number Of Non Hispanic White Beneficiaries | 3375 |
| Number Of Black or African American Beneficiaries | 277 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 252 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 81 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3169 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 849 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3162 |