| National Provider Identifier [NPI]: | 1700837119 |
| Last Name Of The Provider | COHN |
| First Name Of The Provider | MORTON |
| 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 | 39000 BOB HOPE DR |
| Street Address 2 Of The Provider | EISENHOWER IMAGING CENTER |
| City Of The Provider | RANCHO MIRAGE |
| Zip Code Of The Provider | 922703221 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 222 |
| Number Of Services | 79990 |
| Number Of Medicare Beneficiaries | 5541 |
| Total Submitted Charge Amount | 5827545.56 |
| Total Medicare Allowed Amount | 1613922.63 |
| Total Medicare Payment Amount | 1230855.56 |
| Total Medicare Standardized Payment Amount | 1202949.85 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 70243 |
| Number Of Medicare Beneficiaries With Drug Services | 960 |
| Total Drug Submitted ChargeAmount | 107722 |
| Total Drug Medicare AllowedAmount | 21251.6 |
| Total Drug Medicare PaymentAmount | 16640.76 |
| Total Drug Medicare Standardized Payment Amount | 16640.76 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 217 |
| Number Of Medical Services | 9747 |
| Number Of Medicare Beneficiaries With Medical Services | 5538 |
| Total Medical Submitted Charge Amount | 5719823.56 |
| Total Medical Medicare Allowed Amount | 1592671.03 |
| Total Medical Medicare Payment Amount | 1214214.8 |
| Total Medical Medicare Standardized Payment Amount | 1186309.09 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 391 |
| Number Of Beneficiaries Age 65 to 74 | 2048 |
| Number Of Beneficiaries Age 75 to 84 | 2030 |
| Number Of Beneficiaries Age Greater 84 | 1072 |
| Number Of Female Beneficiaries | 2907 |
| Number Of Male Beneficiaries | 2634 |
| Number Of Non Hispanic White Beneficiaries | 4926 |
| Number Of Black or African American Beneficiaries | 74 |
| Number Of AsianPacific Islander Beneficiaries | 37 |
| Number Of Hispanic Beneficiaries | 433 |
| Number Of American Indian Alaska Native Beneficiaries | 18 |
| Number Of Beneficiaries With Race Not Else where Classified | 53 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4926 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 615 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5711 |