| National Provider Identifier [NPI]: | 1740294396 |
| Last Name Of The Provider | MONROE |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 311 N KEENE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | COLUMBIA |
| Zip Code Of The Provider | 652016623 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 228 |
| Number Of Services | 17452 |
| Number Of Medicare Beneficiaries | 4139 |
| Total Submitted Charge Amount | 1759802.81 |
| Total Medicare Allowed Amount | 397986.51 |
| Total Medicare Payment Amount | 305118.65 |
| Total Medicare Standardized Payment Amount | 337682.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 10627 |
| Number Of Medicare Beneficiaries With Drug Services | 261 |
| Total Drug Submitted ChargeAmount | 26762 |
| Total Drug Medicare AllowedAmount | 3642.8 |
| Total Drug Medicare PaymentAmount | 2853.58 |
| Total Drug Medicare Standardized Payment Amount | 2853.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 220 |
| Number Of Medical Services | 6825 |
| Number Of Medicare Beneficiaries With Medical Services | 4139 |
| Total Medical Submitted Charge Amount | 1733040.81 |
| Total Medical Medicare Allowed Amount | 394343.71 |
| Total Medical Medicare Payment Amount | 302265.07 |
| Total Medical Medicare Standardized Payment Amount | 334828.81 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 838 |
| Number Of Beneficiaries Age 65 to 74 | 1521 |
| Number Of Beneficiaries Age 75 to 84 | 1208 |
| Number Of Beneficiaries Age Greater 84 | 572 |
| Number Of Female Beneficiaries | 2549 |
| Number Of Male Beneficiaries | 1590 |
| Number Of Non Hispanic White Beneficiaries | 3962 |
| Number Of Black or African American Beneficiaries | 105 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3130 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1009 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2889 |