| National Provider Identifier [NPI]: | 1891842605 |
| Last Name Of The Provider | BLAKE |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 540 LINCOLN PARK BLVD |
| Street Address 2 Of The Provider | SUITE 130 |
| City Of The Provider | KETTERING |
| Zip Code Of The Provider | 454296401 |
| 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 | 184 |
| Number Of Services | 7369 |
| Number Of Medicare Beneficiaries | 4115 |
| Total Submitted Charge Amount | 700019 |
| Total Medicare Allowed Amount | 181568.25 |
| Total Medicare Payment Amount | 136795.18 |
| Total Medicare Standardized Payment Amount | 140448.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 1600 |
| Number Of Medicare Beneficiaries With Drug Services | 15 |
| Total Drug Submitted ChargeAmount | 448 |
| Total Drug Medicare AllowedAmount | 276.8 |
| Total Drug Medicare PaymentAmount | 217 |
| Total Drug Medicare Standardized Payment Amount | 217 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 183 |
| Number Of Medical Services | 5769 |
| Number Of Medicare Beneficiaries With Medical Services | 4115 |
| Total Medical Submitted Charge Amount | 699571 |
| Total Medical Medicare Allowed Amount | 181291.45 |
| Total Medical Medicare Payment Amount | 136578.18 |
| Total Medical Medicare Standardized Payment Amount | 140231.12 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 798 |
| Number Of Beneficiaries Age 65 to 74 | 1514 |
| Number Of Beneficiaries Age 75 to 84 | 1156 |
| Number Of Beneficiaries Age Greater 84 | 647 |
| Number Of Female Beneficiaries | 2409 |
| Number Of Male Beneficiaries | 1706 |
| Number Of Non Hispanic White Beneficiaries | 3692 |
| Number Of Black or African American Beneficiaries | 295 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 34 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 67 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3110 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1005 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8146 |