| National Provider Identifier [NPI]: | 1891754669 |
| Last Name Of The Provider | CONDE |
| First Name Of The Provider | KRIS |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4755 OGLETOWN STANTON RD |
| Street Address 2 Of The Provider | DEPARTMENT OF RADIOLOGY |
| City Of The Provider | NEWARK |
| Zip Code Of The Provider | 197182200 |
| State Code Of The Provider | DE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 109 |
| Number Of Services | 6343 |
| Number Of Medicare Beneficiaries | 4514 |
| Total Submitted Charge Amount | 689440.89 |
| Total Medicare Allowed Amount | 255332.77 |
| Total Medicare Payment Amount | 196405.14 |
| Total Medicare Standardized Payment Amount | 198359.11 |
| Drug Suppress Indicator | * |
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| Medical SuppressIndicator | # |
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| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 773 |
| Number Of Beneficiaries Age 65 to 74 | 1553 |
| Number Of Beneficiaries Age 75 to 84 | 1357 |
| Number Of Beneficiaries Age Greater 84 | 831 |
| Number Of Female Beneficiaries | 2576 |
| Number Of Male Beneficiaries | 1938 |
| Number Of Non Hispanic White Beneficiaries | 3447 |
| Number Of Black or African American Beneficiaries | 845 |
| Number Of AsianPacific Islander Beneficiaries | 70 |
| Number Of Hispanic Beneficiaries | 113 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3481 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1033 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.0463 |