| National Provider Identifier [NPI]: | 1720066657 |
| Last Name Of The Provider | CARTAGENA |
| First Name Of The Provider | ALICIA |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 300 WESTAGE BUSINESS CTR DR |
| Street Address 2 Of The Provider | SUITE 280 |
| City Of The Provider | FISHKILL |
| Zip Code Of The Provider | 125242236 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 168 |
| Number Of Services | 7361 |
| Number Of Medicare Beneficiaries | 3716 |
| Total Submitted Charge Amount | 832594.65 |
| Total Medicare Allowed Amount | 269443.72 |
| Total Medicare Payment Amount | 205205.06 |
| Total Medicare Standardized Payment Amount | 194113.94 |
| 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 | 168 |
| Number Of Medical Services | 7361 |
| Number Of Medicare Beneficiaries With Medical Services | 3716 |
| Total Medical Submitted Charge Amount | 832594.65 |
| Total Medical Medicare Allowed Amount | 269443.72 |
| Total Medical Medicare Payment Amount | 205205.06 |
| Total Medical Medicare Standardized Payment Amount | 194113.94 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 848 |
| Number Of Beneficiaries Age 65 to 74 | 1544 |
| Number Of Beneficiaries Age 75 to 84 | 956 |
| Number Of Beneficiaries Age Greater 84 | 368 |
| Number Of Female Beneficiaries | 2505 |
| Number Of Male Beneficiaries | 1211 |
| Number Of Non Hispanic White Beneficiaries | 1835 |
| Number Of Black or African American Beneficiaries | 1765 |
| Number Of AsianPacific Islander Beneficiaries | 54 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2647 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1069 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5564 |