| National Provider Identifier [NPI]: | 1154533057 |
| Last Name Of The Provider | VEACH |
| First Name Of The Provider | CASEY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 615 VALLEY VIEW DR. |
| Street Address 2 Of The Provider | SUITE 202 |
| City Of The Provider | MOLINE |
| Zip Code Of The Provider | 612656180 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 216 |
| Number Of Services | 8305 |
| Number Of Medicare Beneficiaries | 4973 |
| Total Submitted Charge Amount | 787485.81 |
| Total Medicare Allowed Amount | 231617.51 |
| Total Medicare Payment Amount | 182840.86 |
| Total Medicare Standardized Payment Amount | 190150.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 143 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 1026.2 |
| Total Drug Medicare AllowedAmount | 283.26 |
| Total Drug Medicare PaymentAmount | 202.78 |
| Total Drug Medicare Standardized Payment Amount | 202.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 215 |
| Number Of Medical Services | 8162 |
| Number Of Medicare Beneficiaries With Medical Services | 4973 |
| Total Medical Submitted Charge Amount | 786459.61 |
| Total Medical Medicare Allowed Amount | 231334.25 |
| Total Medical Medicare Payment Amount | 182638.08 |
| Total Medical Medicare Standardized Payment Amount | 189947.68 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 714 |
| Number Of Beneficiaries Age 65 to 74 | 1879 |
| Number Of Beneficiaries Age 75 to 84 | 1544 |
| Number Of Beneficiaries Age Greater 84 | 836 |
| Number Of Female Beneficiaries | 3187 |
| Number Of Male Beneficiaries | 1786 |
| Number Of Non Hispanic White Beneficiaries | 4619 |
| Number Of Black or African American Beneficiaries | 200 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 108 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3947 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1026 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4382 |