| National Provider Identifier [NPI]: | 1992755821 |
| Last Name Of The Provider | CABAY |
| First Name Of The Provider | MARCUS |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | UNIVERSITY OF WISCONSIN HOSPITAL |
| Street Address 2 Of The Provider | 600 HIGHLAND AVE H4/831-8320 |
| City Of The Provider | MADISON |
| Zip Code Of The Provider | 537920001 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 212 |
| Number Of Services | 5539 |
| Number Of Medicare Beneficiaries | 3513 |
| Total Submitted Charge Amount | 995188.19 |
| Total Medicare Allowed Amount | 185987.94 |
| Total Medicare Payment Amount | 137031.02 |
| Total Medicare Standardized Payment Amount | 147120.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 339 |
| Number Of Medicare Beneficiaries With Drug Services | 34 |
| Total Drug Submitted ChargeAmount | 2438.8 |
| Total Drug Medicare AllowedAmount | 668.35 |
| Total Drug Medicare PaymentAmount | 524.11 |
| Total Drug Medicare Standardized Payment Amount | 524.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 211 |
| Number Of Medical Services | 5200 |
| Number Of Medicare Beneficiaries With Medical Services | 3513 |
| Total Medical Submitted Charge Amount | 992749.39 |
| Total Medical Medicare Allowed Amount | 185319.59 |
| Total Medical Medicare Payment Amount | 136506.91 |
| Total Medical Medicare Standardized Payment Amount | 146596.48 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 574 |
| Number Of Beneficiaries Age 65 to 74 | 1301 |
| Number Of Beneficiaries Age 75 to 84 | 1053 |
| Number Of Beneficiaries Age Greater 84 | 585 |
| Number Of Female Beneficiaries | 2085 |
| Number Of Male Beneficiaries | 1428 |
| Number Of Non Hispanic White Beneficiaries | 3224 |
| Number Of Black or African American Beneficiaries | 166 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 77 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2779 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 734 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4901 |