| National Provider Identifier [NPI]: | 1407801210 |
| Last Name Of The Provider | ALLEN |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2603 W MARKET ST |
| Street Address 2 Of The Provider | SUITE 210 |
| City Of The Provider | AKRON |
| Zip Code Of The Provider | 443134205 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 285 |
| Number Of Services | 9423 |
| Number Of Medicare Beneficiaries | 4659 |
| Total Submitted Charge Amount | 2175983.52 |
| Total Medicare Allowed Amount | 374115.63 |
| Total Medicare Payment Amount | 291847.29 |
| Total Medicare Standardized Payment Amount | 305244.48 |
| 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 | 285 |
| Number Of Medical Services | 9423 |
| Number Of Medicare Beneficiaries With Medical Services | 4659 |
| Total Medical Submitted Charge Amount | 2175983.52 |
| Total Medical Medicare Allowed Amount | 374115.63 |
| Total Medical Medicare Payment Amount | 291847.29 |
| Total Medical Medicare Standardized Payment Amount | 305244.48 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 308 |
| Number Of Beneficiaries Age 65 to 74 | 1952 |
| Number Of Beneficiaries Age 75 to 84 | 1522 |
| Number Of Beneficiaries Age Greater 84 | 877 |
| Number Of Female Beneficiaries | 2648 |
| Number Of Male Beneficiaries | 2011 |
| Number Of Non Hispanic White Beneficiaries | 4217 |
| Number Of Black or African American Beneficiaries | 335 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4263 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 396 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.3012 |