| National Provider Identifier [NPI]: | 1528234127 |
| Last Name Of The Provider | MAIERS |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7675 PHOENIX DR APT 504 |
| Street Address 2 Of The Provider | |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770304710 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 218 |
| Number Of Services | 9310 |
| Number Of Medicare Beneficiaries | 5089 |
| Total Submitted Charge Amount | 1121127.93 |
| Total Medicare Allowed Amount | 233417.75 |
| Total Medicare Payment Amount | 182021.67 |
| Total Medicare Standardized Payment Amount | 189795.06 |
| 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 | 218 |
| Number Of Medical Services | 9310 |
| Number Of Medicare Beneficiaries With Medical Services | 5089 |
| Total Medical Submitted Charge Amount | 1121127.93 |
| Total Medical Medicare Allowed Amount | 233417.75 |
| Total Medical Medicare Payment Amount | 182021.67 |
| Total Medical Medicare Standardized Payment Amount | 189795.06 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 880 |
| Number Of Beneficiaries Age 65 to 74 | 1871 |
| Number Of Beneficiaries Age 75 to 84 | 1547 |
| Number Of Beneficiaries Age Greater 84 | 791 |
| Number Of Female Beneficiaries | 3150 |
| Number Of Male Beneficiaries | 1939 |
| Number Of Non Hispanic White Beneficiaries | 4340 |
| Number Of Black or African American Beneficiaries | 444 |
| Number Of AsianPacific Islander Beneficiaries | 58 |
| Number Of Hispanic Beneficiaries | 130 |
| Number Of American Indian Alaska Native Beneficiaries | 87 |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3738 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1351 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8093 |