| National Provider Identifier [NPI]: | 1316935299 |
| Last Name Of The Provider | ABBOTT |
| First Name Of The Provider | GERALD |
| 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 | 55 FRUIT STREET FND 202 |
| Street Address 2 Of The Provider | MGH RADIOLOGY ASSOCIATES |
| City Of The Provider | BOSTON |
| Zip Code Of The Provider | 02114 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 14 |
| Number Of Services | 10961 |
| Number Of Medicare Beneficiaries | 3115 |
| Total Submitted Charge Amount | 455338 |
| Total Medicare Allowed Amount | 106667.81 |
| Total Medicare Payment Amount | 80636.89 |
| Total Medicare Standardized Payment Amount | 76988.57 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 6559 |
| Number Of Medicare Beneficiaries With Drug Services | 75 |
| Total Drug Submitted ChargeAmount | 6559 |
| Total Drug Medicare AllowedAmount | 1260.29 |
| Total Drug Medicare PaymentAmount | 987.95 |
| Total Drug Medicare Standardized Payment Amount | 987.95 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 13 |
| Number Of Medical Services | 4402 |
| Number Of Medicare Beneficiaries With Medical Services | 3115 |
| Total Medical Submitted Charge Amount | 448779 |
| Total Medical Medicare Allowed Amount | 105407.52 |
| Total Medical Medicare Payment Amount | 79648.94 |
| Total Medical Medicare Standardized Payment Amount | 76000.62 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 517 |
| Number Of Beneficiaries Age 65 to 74 | 1172 |
| Number Of Beneficiaries Age 75 to 84 | 997 |
| Number Of Beneficiaries Age Greater 84 | 429 |
| Number Of Female Beneficiaries | 1489 |
| Number Of Male Beneficiaries | 1626 |
| Number Of Non Hispanic White Beneficiaries | 2778 |
| Number Of Black or African American Beneficiaries | 81 |
| Number Of AsianPacific Islander Beneficiaries | 74 |
| Number Of Hispanic Beneficiaries | 119 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2350 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 765 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 26 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.1601 |