| National Provider Identifier [NPI]: | 1467460402 |
| Last Name Of The Provider | AIZENSTEIN |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2323 W ROSE GARDEN LN |
| Street Address 2 Of The Provider | |
| City Of The Provider | PHOENIX |
| Zip Code Of The Provider | 850272530 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 211 |
| Number Of Services | 42720 |
| Number Of Medicare Beneficiaries | 3786 |
| Total Submitted Charge Amount | 2394705.44 |
| Total Medicare Allowed Amount | 609447.36 |
| Total Medicare Payment Amount | 455361.5 |
| Total Medicare Standardized Payment Amount | 466860.87 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 36665 |
| Number Of Medicare Beneficiaries With Drug Services | 456 |
| Total Drug Submitted ChargeAmount | 75629.44 |
| Total Drug Medicare AllowedAmount | 9966.97 |
| Total Drug Medicare PaymentAmount | 7719.88 |
| Total Drug Medicare Standardized Payment Amount | 7719.88 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 207 |
| Number Of Medical Services | 6055 |
| Number Of Medicare Beneficiaries With Medical Services | 3786 |
| Total Medical Submitted Charge Amount | 2319076 |
| Total Medical Medicare Allowed Amount | 599480.39 |
| Total Medical Medicare Payment Amount | 447641.62 |
| Total Medical Medicare Standardized Payment Amount | 459140.99 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 590 |
| Number Of Beneficiaries Age 65 to 74 | 1836 |
| Number Of Beneficiaries Age 75 to 84 | 1025 |
| Number Of Beneficiaries Age Greater 84 | 335 |
| Number Of Female Beneficiaries | 2158 |
| Number Of Male Beneficiaries | 1628 |
| Number Of Non Hispanic White Beneficiaries | 2950 |
| Number Of Black or African American Beneficiaries | 212 |
| Number Of AsianPacific Islander Beneficiaries | 73 |
| Number Of Hispanic Beneficiaries | 457 |
| Number Of American Indian Alaska Native Beneficiaries | 38 |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3097 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 689 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.663 |