| National Provider Identifier [NPI]: | 1285670158 |
| Last Name Of The Provider | PORAMBO |
| First Name Of The Provider | ALBERT |
| Middle Initial Of The Provider | V |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3905 FOX VALLEY DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | ROCKVILLE |
| Zip Code Of The Provider | 208533206 |
| 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 | 196 |
| Number Of Services | 27896 |
| Number Of Medicare Beneficiaries | 4131 |
| Total Submitted Charge Amount | 2132720.53 |
| Total Medicare Allowed Amount | 750054.73 |
| Total Medicare Payment Amount | 587259.75 |
| Total Medicare Standardized Payment Amount | 530606.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 21199 |
| Number Of Medicare Beneficiaries With Drug Services | 376 |
| Total Drug Submitted ChargeAmount | 20736.23 |
| Total Drug Medicare AllowedAmount | 9966.73 |
| Total Drug Medicare PaymentAmount | 7490.5 |
| Total Drug Medicare Standardized Payment Amount | 7490.5 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 190 |
| Number Of Medical Services | 6697 |
| Number Of Medicare Beneficiaries With Medical Services | 4130 |
| Total Medical Submitted Charge Amount | 2111984.3 |
| Total Medical Medicare Allowed Amount | 740088 |
| Total Medical Medicare Payment Amount | 579769.25 |
| Total Medical Medicare Standardized Payment Amount | 523116.24 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 444 |
| Number Of Beneficiaries Age 65 to 74 | 1779 |
| Number Of Beneficiaries Age 75 to 84 | 1186 |
| Number Of Beneficiaries Age Greater 84 | 722 |
| Number Of Female Beneficiaries | 2842 |
| Number Of Male Beneficiaries | 1289 |
| Number Of Non Hispanic White Beneficiaries | 2580 |
| Number Of Black or African American Beneficiaries | 1098 |
| Number Of AsianPacific Islander Beneficiaries | 192 |
| Number Of Hispanic Beneficiaries | 170 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3469 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 662 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.2492 |