| National Provider Identifier [NPI]: | 1740312149 |
| Last Name Of The Provider | HIRATA |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2002 MEDICAL PKWY |
| Street Address 2 Of The Provider | SUITE 235 |
| City Of The Provider | ANNAPOLIS |
| Zip Code Of The Provider | 214013046 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 179 |
| Number Of Services | 21904 |
| Number Of Medicare Beneficiaries | 4011 |
| Total Submitted Charge Amount | 1687216.2 |
| Total Medicare Allowed Amount | 569611.4 |
| Total Medicare Payment Amount | 439464.2 |
| Total Medicare Standardized Payment Amount | 415268.76 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 15947 |
| Number Of Medicare Beneficiaries With Drug Services | 253 |
| Total Drug Submitted ChargeAmount | 20811 |
| Total Drug Medicare AllowedAmount | 5184.26 |
| Total Drug Medicare PaymentAmount | 3845.24 |
| Total Drug Medicare Standardized Payment Amount | 3845.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 175 |
| Number Of Medical Services | 5957 |
| Number Of Medicare Beneficiaries With Medical Services | 4010 |
| Total Medical Submitted Charge Amount | 1666405.2 |
| Total Medical Medicare Allowed Amount | 564427.14 |
| Total Medical Medicare Payment Amount | 435618.96 |
| Total Medical Medicare Standardized Payment Amount | 411423.52 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 438 |
| Number Of Beneficiaries Age 65 to 74 | 1745 |
| Number Of Beneficiaries Age 75 to 84 | 1238 |
| Number Of Beneficiaries Age Greater 84 | 590 |
| Number Of Female Beneficiaries | 2464 |
| Number Of Male Beneficiaries | 1547 |
| Number Of Non Hispanic White Beneficiaries | 3252 |
| Number Of Black or African American Beneficiaries | 641 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 39 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3600 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 411 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.4555 |