| National Provider Identifier [NPI]: | 1982668034 |
| Last Name Of The Provider | RISIUS |
| First Name Of The Provider | BARBARA |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9500 EUCLID AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | CLEVELAND |
| Zip Code Of The Provider | 441950001 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 10 |
| Number Of Services | 6480 |
| Number Of Medicare Beneficiaries | 4049 |
| Total Submitted Charge Amount | 690553.14 |
| Total Medicare Allowed Amount | 95987.27 |
| Total Medicare Payment Amount | 71303.64 |
| Total Medicare Standardized Payment Amount | 74855.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 25 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 119.14 |
| Total Drug Medicare AllowedAmount | 4.69 |
| Total Drug Medicare PaymentAmount | 3.78 |
| Total Drug Medicare Standardized Payment Amount | 3.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 9 |
| Number Of Medical Services | 6455 |
| Number Of Medicare Beneficiaries With Medical Services | 4049 |
| Total Medical Submitted Charge Amount | 690434 |
| Total Medical Medicare Allowed Amount | 95982.58 |
| Total Medical Medicare Payment Amount | 71299.86 |
| Total Medical Medicare Standardized Payment Amount | 74852.06 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 882 |
| Number Of Beneficiaries Age 65 to 74 | 1702 |
| Number Of Beneficiaries Age 75 to 84 | 1106 |
| Number Of Beneficiaries Age Greater 84 | 359 |
| Number Of Female Beneficiaries | 1806 |
| Number Of Male Beneficiaries | 2243 |
| Number Of Non Hispanic White Beneficiaries | 3232 |
| Number Of Black or African American Beneficiaries | 628 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 81 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3199 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 850 |
| Percent Of With Atrial Fibrillation | 34 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 55 |
| Percent Of With Chronic Kidney Disease | 52 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.3342 |