| National Provider Identifier [NPI]: | 1750338158 |
| Last Name Of The Provider | DONKOR |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | O |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2213 CHERRY STREET, MRG ASSOCIATES, LLC |
| Street Address 2 Of The Provider | RADIOLOGY DEPT - BASEMENT LEVEL |
| City Of The Provider | TOLEDO |
| Zip Code Of The Provider | 436082603 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 161 |
| Number Of Services | 6695 |
| Number Of Medicare Beneficiaries | 3021 |
| Total Submitted Charge Amount | 272057.4 |
| Total Medicare Allowed Amount | 134583.48 |
| Total Medicare Payment Amount | 100713.92 |
| Total Medicare Standardized Payment Amount | 104382.01 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2420 |
| Number Of Medicare Beneficiaries With Drug Services | 21 |
| Total Drug Submitted ChargeAmount | 1518.4 |
| Total Drug Medicare AllowedAmount | 493.01 |
| Total Drug Medicare PaymentAmount | 386.49 |
| Total Drug Medicare Standardized Payment Amount | 386.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 159 |
| Number Of Medical Services | 4275 |
| Number Of Medicare Beneficiaries With Medical Services | 3021 |
| Total Medical Submitted Charge Amount | 270539 |
| Total Medical Medicare Allowed Amount | 134090.47 |
| Total Medical Medicare Payment Amount | 100327.43 |
| Total Medical Medicare Standardized Payment Amount | 103995.52 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 853 |
| Number Of Beneficiaries Age 65 to 74 | 954 |
| Number Of Beneficiaries Age 75 to 84 | 756 |
| Number Of Beneficiaries Age Greater 84 | 458 |
| Number Of Female Beneficiaries | 1701 |
| Number Of Male Beneficiaries | 1320 |
| Number Of Non Hispanic White Beneficiaries | 2385 |
| Number Of Black or African American Beneficiaries | 450 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 136 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1915 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1106 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9083 |