| National Provider Identifier [NPI]: | 1609833102 |
| Last Name Of The Provider | WALKER |
| First Name Of The Provider | MARVIN |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12368 STRATFORD DR |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | CLIVE |
| Zip Code Of The Provider | 503258162 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 175 |
| Number Of Services | 13142 |
| Number Of Medicare Beneficiaries | 5103 |
| Total Submitted Charge Amount | 601374.5 |
| Total Medicare Allowed Amount | 216083.56 |
| Total Medicare Payment Amount | 167231.54 |
| Total Medicare Standardized Payment Amount | 181996.76 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 5736 |
| Number Of Medicare Beneficiaries With Drug Services | 68 |
| Total Drug Submitted ChargeAmount | 2868 |
| Total Drug Medicare AllowedAmount | 1093.77 |
| Total Drug Medicare PaymentAmount | 851.46 |
| Total Drug Medicare Standardized Payment Amount | 851.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 174 |
| Number Of Medical Services | 7406 |
| Number Of Medicare Beneficiaries With Medical Services | 5103 |
| Total Medical Submitted Charge Amount | 598506.5 |
| Total Medical Medicare Allowed Amount | 214989.79 |
| Total Medical Medicare Payment Amount | 166380.08 |
| Total Medical Medicare Standardized Payment Amount | 181145.3 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 666 |
| Number Of Beneficiaries Age 65 to 74 | 1886 |
| Number Of Beneficiaries Age 75 to 84 | 1578 |
| Number Of Beneficiaries Age Greater 84 | 973 |
| Number Of Female Beneficiaries | 3338 |
| Number Of Male Beneficiaries | 1765 |
| Number Of Non Hispanic White Beneficiaries | 4858 |
| Number Of Black or African American Beneficiaries | 114 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 50 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4114 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 989 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 50 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3091 |