| National Provider Identifier [NPI]: | 1275595001 |
| Last Name Of The Provider | KIRSCH |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 525 S COWLEY ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SPOKANE |
| Zip Code Of The Provider | 992021381 |
| State Code Of The Provider | WA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 168 |
| Number Of Services | 10668 |
| Number Of Medicare Beneficiaries | 4764 |
| Total Submitted Charge Amount | 1016840.04 |
| Total Medicare Allowed Amount | 293199.35 |
| Total Medicare Payment Amount | 216215.58 |
| Total Medicare Standardized Payment Amount | 215151.06 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 3295 |
| Number Of Medicare Beneficiaries With Drug Services | 138 |
| Total Drug Submitted ChargeAmount | 7075.78 |
| Total Drug Medicare AllowedAmount | 2490.2 |
| Total Drug Medicare PaymentAmount | 1901.72 |
| Total Drug Medicare Standardized Payment Amount | 1901.72 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 155 |
| Number Of Medical Services | 7373 |
| Number Of Medicare Beneficiaries With Medical Services | 4762 |
| Total Medical Submitted Charge Amount | 1009764.26 |
| Total Medical Medicare Allowed Amount | 290709.15 |
| Total Medical Medicare Payment Amount | 214313.86 |
| Total Medical Medicare Standardized Payment Amount | 213249.34 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 789 |
| Number Of Beneficiaries Age 65 to 74 | 1880 |
| Number Of Beneficiaries Age 75 to 84 | 1355 |
| Number Of Beneficiaries Age Greater 84 | 740 |
| Number Of Female Beneficiaries | 2863 |
| Number Of Male Beneficiaries | 1901 |
| Number Of Non Hispanic White Beneficiaries | 4373 |
| Number Of Black or African American Beneficiaries | 62 |
| Number Of AsianPacific Islander Beneficiaries | 67 |
| Number Of Hispanic Beneficiaries | 126 |
| Number Of American Indian Alaska Native Beneficiaries | 74 |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3718 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1046 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3973 |