| National Provider Identifier [NPI]: | 1356516298 |
| Last Name Of The Provider | KRUG |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1145 19TH ST NW |
| Street Address 2 Of The Provider | SUITE 205 |
| City Of The Provider | WASHINGTON |
| Zip Code Of The Provider | 200363701 |
| State Code Of The Provider | DC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 197 |
| Number Of Services | 30316.5 |
| Number Of Medicare Beneficiaries | 4329 |
| Total Submitted Charge Amount | 2299317 |
| Total Medicare Allowed Amount | 643769.6 |
| Total Medicare Payment Amount | 486743.33 |
| Total Medicare Standardized Payment Amount | 441984.37 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 23638.5 |
| Number Of Medicare Beneficiaries With Drug Services | 291 |
| Total Drug Submitted ChargeAmount | 29518 |
| Total Drug Medicare AllowedAmount | 7519.12 |
| Total Drug Medicare PaymentAmount | 5867.59 |
| Total Drug Medicare Standardized Payment Amount | 5867.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 192 |
| Number Of Medical Services | 6678 |
| Number Of Medicare Beneficiaries With Medical Services | 4326 |
| Total Medical Submitted Charge Amount | 2269799 |
| Total Medical Medicare Allowed Amount | 636250.48 |
| Total Medical Medicare Payment Amount | 480875.74 |
| Total Medical Medicare Standardized Payment Amount | 436116.78 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 176 |
| Number Of Beneficiaries Age 65 to 74 | 1557 |
| Number Of Beneficiaries Age 75 to 84 | 1565 |
| Number Of Beneficiaries Age Greater 84 | 1031 |
| Number Of Female Beneficiaries | 2643 |
| Number Of Male Beneficiaries | 1686 |
| Number Of Non Hispanic White Beneficiaries | 3393 |
| Number Of Black or African American Beneficiaries | 510 |
| Number Of AsianPacific Islander Beneficiaries | 147 |
| Number Of Hispanic Beneficiaries | 160 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3949 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 380 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3134 |