| National Provider Identifier [NPI]: | 1740210590 |
| Last Name Of The Provider | CAMENS |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | G3239 BEECHER RD |
| Street Address 2 Of The Provider | SUITE F |
| City Of The Provider | FLINT |
| Zip Code Of The Provider | 485323616 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 187 |
| Number Of Services | 10776 |
| Number Of Medicare Beneficiaries | 5343 |
| Total Submitted Charge Amount | 746163 |
| Total Medicare Allowed Amount | 362638.56 |
| Total Medicare Payment Amount | 274473.4 |
| Total Medicare Standardized Payment Amount | 282519.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 187 |
| Number Of Medical Services | 10776 |
| Number Of Medicare Beneficiaries With Medical Services | 5343 |
| Total Medical Submitted Charge Amount | 746163 |
| Total Medical Medicare Allowed Amount | 362638.56 |
| Total Medical Medicare Payment Amount | 274473.4 |
| Total Medical Medicare Standardized Payment Amount | 282519.64 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1438 |
| Number Of Beneficiaries Age 65 to 74 | 1703 |
| Number Of Beneficiaries Age 75 to 84 | 1419 |
| Number Of Beneficiaries Age Greater 84 | 783 |
| Number Of Female Beneficiaries | 3150 |
| Number Of Male Beneficiaries | 2193 |
| Number Of Non Hispanic White Beneficiaries | 4005 |
| Number Of Black or African American Beneficiaries | 1171 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 89 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3849 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1494 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 62 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.9928 |