| National Provider Identifier [NPI]: | 1770577538 |
| Last Name Of The Provider | MERCHUN |
| First Name Of The Provider | GREGORY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7340 SHADELAND STATION |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | INDIANAPOLIS |
| Zip Code Of The Provider | 462563980 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 143 |
| Number Of Services | 7172 |
| Number Of Medicare Beneficiaries | 5170 |
| Total Submitted Charge Amount | 661287.87 |
| Total Medicare Allowed Amount | 163417.61 |
| Total Medicare Payment Amount | 125743.18 |
| Total Medicare Standardized Payment Amount | 134585.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 143 |
| Number Of Medical Services | 7172 |
| Number Of Medicare Beneficiaries With Medical Services | 5170 |
| Total Medical Submitted Charge Amount | 661287.87 |
| Total Medical Medicare Allowed Amount | 163417.61 |
| Total Medical Medicare Payment Amount | 125743.18 |
| Total Medical Medicare Standardized Payment Amount | 134585.46 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 820 |
| Number Of Beneficiaries Age 65 to 74 | 2101 |
| Number Of Beneficiaries Age 75 to 84 | 1501 |
| Number Of Beneficiaries Age Greater 84 | 748 |
| Number Of Female Beneficiaries | 3276 |
| Number Of Male Beneficiaries | 1894 |
| Number Of Non Hispanic White Beneficiaries | 4990 |
| Number Of Black or African American Beneficiaries | 74 |
| Number Of AsianPacific Islander Beneficiaries | 32 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4146 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1024 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5152 |