| National Provider Identifier [NPI]: | 1255374948 |
| Last Name Of The Provider | LAUBER |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | ONE HURLEY PLAZA |
| Street Address 2 Of The Provider | HURLEY MEDICAL CENTER, RADIOLOGY DEPT |
| City Of The Provider | FLINT |
| Zip Code Of The Provider | 48503 |
| 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 | 179 |
| Number Of Services | 35344 |
| Number Of Medicare Beneficiaries | 4481 |
| Total Submitted Charge Amount | 1137077.22 |
| Total Medicare Allowed Amount | 446485.17 |
| Total Medicare Payment Amount | 347794.61 |
| Total Medicare Standardized Payment Amount | 372088.86 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 27428 |
| Number Of Medicare Beneficiaries With Drug Services | 269 |
| Total Drug Submitted ChargeAmount | 48649.22 |
| Total Drug Medicare AllowedAmount | 5563.93 |
| Total Drug Medicare PaymentAmount | 4287.24 |
| Total Drug Medicare Standardized Payment Amount | 4287.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 177 |
| Number Of Medical Services | 7916 |
| Number Of Medicare Beneficiaries With Medical Services | 4480 |
| Total Medical Submitted Charge Amount | 1088428 |
| Total Medical Medicare Allowed Amount | 440921.24 |
| Total Medical Medicare Payment Amount | 343507.37 |
| Total Medical Medicare Standardized Payment Amount | 367801.62 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1116 |
| Number Of Beneficiaries Age 65 to 74 | 1678 |
| Number Of Beneficiaries Age 75 to 84 | 1208 |
| Number Of Beneficiaries Age Greater 84 | 479 |
| Number Of Female Beneficiaries | 2858 |
| Number Of Male Beneficiaries | 1623 |
| Number Of Non Hispanic White Beneficiaries | 2921 |
| Number Of Black or African American Beneficiaries | 1437 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 61 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3240 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1241 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6389 |