| National Provider Identifier [NPI]: | 1588678049 |
| Last Name Of The Provider | SWOFFORD |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6245 INKSTER RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | GARDEN CITY |
| Zip Code Of The Provider | 481354001 |
| 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 | 202 |
| Number Of Services | 7605 |
| Number Of Medicare Beneficiaries | 4553 |
| Total Submitted Charge Amount | 614107.75 |
| Total Medicare Allowed Amount | 235378.94 |
| Total Medicare Payment Amount | 176124.1 |
| Total Medicare Standardized Payment Amount | 172748.43 |
| 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 | 202 |
| Number Of Medical Services | 7605 |
| Number Of Medicare Beneficiaries With Medical Services | 4553 |
| Total Medical Submitted Charge Amount | 614107.75 |
| Total Medical Medicare Allowed Amount | 235378.94 |
| Total Medical Medicare Payment Amount | 176124.1 |
| Total Medical Medicare Standardized Payment Amount | 172748.43 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 983 |
| Number Of Beneficiaries Age 65 to 74 | 1416 |
| Number Of Beneficiaries Age 75 to 84 | 1220 |
| Number Of Beneficiaries Age Greater 84 | 934 |
| Number Of Female Beneficiaries | 2800 |
| Number Of Male Beneficiaries | 1753 |
| Number Of Non Hispanic White Beneficiaries | 2937 |
| Number Of Black or African American Beneficiaries | 1437 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 72 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 63 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3213 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1340 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 27 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.0816 |