| National Provider Identifier [NPI]: | 1326021163 |
| Last Name Of The Provider | WELTMAN |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 301 E MAIN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | BAY SHORE |
| Zip Code Of The Provider | 117068408 |
| 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 | 167 |
| Number Of Services | 10881 |
| Number Of Medicare Beneficiaries | 4817 |
| Total Submitted Charge Amount | 1157361.4 |
| Total Medicare Allowed Amount | 331978.21 |
| Total Medicare Payment Amount | 254797.93 |
| Total Medicare Standardized Payment Amount | 232021.29 |
| 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 | 167 |
| Number Of Medical Services | 10881 |
| Number Of Medicare Beneficiaries With Medical Services | 4817 |
| Total Medical Submitted Charge Amount | 1157361.4 |
| Total Medical Medicare Allowed Amount | 331978.21 |
| Total Medical Medicare Payment Amount | 254797.93 |
| Total Medical Medicare Standardized Payment Amount | 232021.29 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1062 |
| Number Of Beneficiaries Age 65 to 74 | 1357 |
| Number Of Beneficiaries Age 75 to 84 | 1284 |
| Number Of Beneficiaries Age Greater 84 | 1114 |
| Number Of Female Beneficiaries | 2750 |
| Number Of Male Beneficiaries | 2067 |
| Number Of Non Hispanic White Beneficiaries | 3657 |
| Number Of Black or African American Beneficiaries | 645 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 407 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2689 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2128 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 34 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 47 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 53 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 13 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.2822 |