| National Provider Identifier [NPI]: | 1215994850 |
| Last Name Of The Provider | MACHADO |
| First Name Of The Provider | GASTON |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8740 RIVERS AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | NORTH CHARLESTON |
| Zip Code Of The Provider | 294069211 |
| State Code Of The Provider | SC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Emergency Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 178 |
| Number Of Services | 25225 |
| Number Of Medicare Beneficiaries | 2131 |
| Total Submitted Charge Amount | 1327034.68 |
| Total Medicare Allowed Amount | 801589.35 |
| Total Medicare Payment Amount | 567457.56 |
| Total Medicare Standardized Payment Amount | 610151.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 29 |
| Number Of Drug Services | 11608 |
| Number Of Medicare Beneficiaries With Drug Services | 956 |
| Total Drug Submitted ChargeAmount | 152484 |
| Total Drug Medicare AllowedAmount | 8302.65 |
| Total Drug Medicare PaymentAmount | 6026.41 |
| Total Drug Medicare Standardized Payment Amount | 6026.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 149 |
| Number Of Medical Services | 13617 |
| Number Of Medicare Beneficiaries With Medical Services | 2130 |
| Total Medical Submitted Charge Amount | 1174550.68 |
| Total Medical Medicare Allowed Amount | 793286.7 |
| Total Medical Medicare Payment Amount | 561431.15 |
| Total Medical Medicare Standardized Payment Amount | 604124.71 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 490 |
| Number Of Beneficiaries Age 65 to 74 | 1108 |
| Number Of Beneficiaries Age 75 to 84 | 407 |
| Number Of Beneficiaries Age Greater 84 | 126 |
| Number Of Female Beneficiaries | 1308 |
| Number Of Male Beneficiaries | 823 |
| Number Of Non Hispanic White Beneficiaries | 1702 |
| Number Of Black or African American Beneficiaries | 325 |
| Number Of AsianPacific Islander Beneficiaries | 27 |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1771 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 360 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 12 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 22 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.9464 |