| National Provider Identifier [NPI]: | 1457493652 |
| Last Name Of The Provider | D'ANGELO |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 600 N WOLFE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212870005 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 293 |
| Number Of Services | 16641 |
| Number Of Medicare Beneficiaries | 6490 |
| Total Submitted Charge Amount | 3250865.37 |
| Total Medicare Allowed Amount | 708692.37 |
| Total Medicare Payment Amount | 540130.09 |
| Total Medicare Standardized Payment Amount | 523721.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 5199 |
| Number Of Medicare Beneficiaries With Drug Services | 68 |
| Total Drug Submitted ChargeAmount | 15213.35 |
| Total Drug Medicare AllowedAmount | 1581.77 |
| Total Drug Medicare PaymentAmount | 1240.16 |
| Total Drug Medicare Standardized Payment Amount | 1240.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 289 |
| Number Of Medical Services | 11442 |
| Number Of Medicare Beneficiaries With Medical Services | 6489 |
| Total Medical Submitted Charge Amount | 3235652.02 |
| Total Medical Medicare Allowed Amount | 707110.6 |
| Total Medical Medicare Payment Amount | 538889.93 |
| Total Medical Medicare Standardized Payment Amount | 522481.33 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 737 |
| Number Of Beneficiaries Age 65 to 74 | 1842 |
| Number Of Beneficiaries Age 75 to 84 | 2101 |
| Number Of Beneficiaries Age Greater 84 | 1810 |
| Number Of Female Beneficiaries | 3837 |
| Number Of Male Beneficiaries | 2653 |
| Number Of Non Hispanic White Beneficiaries | 5998 |
| Number Of Black or African American Beneficiaries | 171 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 204 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 70 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5398 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1092 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 46 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 71 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.0878 |