| National Provider Identifier [NPI]: | 1790780013 |
| Last Name Of The Provider | OLMSTED |
| First Name Of The Provider | ADAM |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5400 KENNEDY AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | CINCINNATI |
| Zip Code Of The Provider | 452132664 |
| 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 | 145 |
| Number Of Services | 31687 |
| Number Of Medicare Beneficiaries | 5344 |
| Total Submitted Charge Amount | 4625542 |
| Total Medicare Allowed Amount | 1233550.57 |
| Total Medicare Payment Amount | 933712.74 |
| Total Medicare Standardized Payment Amount | 916554.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 24503 |
| Number Of Medicare Beneficiaries With Drug Services | 563 |
| Total Drug Submitted ChargeAmount | 50353 |
| Total Drug Medicare AllowedAmount | 13873.15 |
| Total Drug Medicare PaymentAmount | 10719.2 |
| Total Drug Medicare Standardized Payment Amount | 10719.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 141 |
| Number Of Medical Services | 7184 |
| Number Of Medicare Beneficiaries With Medical Services | 5340 |
| Total Medical Submitted Charge Amount | 4575189 |
| Total Medical Medicare Allowed Amount | 1219677.42 |
| Total Medical Medicare Payment Amount | 922993.54 |
| Total Medical Medicare Standardized Payment Amount | 905834.98 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 460 |
| Number Of Beneficiaries Age 65 to 74 | 2668 |
| Number Of Beneficiaries Age 75 to 84 | 1786 |
| Number Of Beneficiaries Age Greater 84 | 430 |
| Number Of Female Beneficiaries | 3001 |
| Number Of Male Beneficiaries | 2343 |
| Number Of Non Hispanic White Beneficiaries | 4955 |
| Number Of Black or African American Beneficiaries | 154 |
| Number Of AsianPacific Islander Beneficiaries | 30 |
| Number Of Hispanic Beneficiaries | 114 |
| Number Of American Indian Alaska Native Beneficiaries | 15 |
| Number Of Beneficiaries With Race Not Else where Classified | 76 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4959 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 385 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 68 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 0.9783 |