| National Provider Identifier [NPI]: | 1710923057 |
| Last Name Of The Provider | REISER |
| First Name Of The Provider | MAYA |
| 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 | 11120 NEW HAMPSHIRE AVE |
| Street Address 2 Of The Provider | SUITE 103 |
| City Of The Provider | SILVER SPRING |
| Zip Code Of The Provider | 209042633 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 130 |
| Number Of Services | 35898 |
| Number Of Medicare Beneficiaries | 3546 |
| Total Submitted Charge Amount | 1526795.62 |
| Total Medicare Allowed Amount | 587197.51 |
| Total Medicare Payment Amount | 459258.47 |
| Total Medicare Standardized Payment Amount | 398432.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 30728 |
| Number Of Medicare Beneficiaries With Drug Services | 281 |
| Total Drug Submitted ChargeAmount | 6804.94 |
| Total Drug Medicare AllowedAmount | 5682.78 |
| Total Drug Medicare PaymentAmount | 4023.8 |
| Total Drug Medicare Standardized Payment Amount | 4023.8 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 128 |
| Number Of Medical Services | 5170 |
| Number Of Medicare Beneficiaries With Medical Services | 3546 |
| Total Medical Submitted Charge Amount | 1519990.68 |
| Total Medical Medicare Allowed Amount | 581514.73 |
| Total Medical Medicare Payment Amount | 455234.67 |
| Total Medical Medicare Standardized Payment Amount | 394408.24 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 350 |
| Number Of Beneficiaries Age 65 to 74 | 1736 |
| Number Of Beneficiaries Age 75 to 84 | 1052 |
| Number Of Beneficiaries Age Greater 84 | 408 |
| Number Of Female Beneficiaries | 2571 |
| Number Of Male Beneficiaries | 975 |
| Number Of Non Hispanic White Beneficiaries | 1657 |
| Number Of Black or African American Beneficiaries | 1133 |
| Number Of AsianPacific Islander Beneficiaries | 335 |
| Number Of Hispanic Beneficiaries | 331 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 90 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2782 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 764 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0557 |