| National Provider Identifier [NPI]: | 1285686766 |
| Last Name Of The Provider | BROWN |
| First Name Of The Provider | CHARLES |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 0401 CASTLE CREEK RD. |
| Street Address 2 Of The Provider | |
| City Of The Provider | ASPEN |
| Zip Code Of The Provider | 81611 |
| State Code Of The Provider | CO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 182 |
| Number Of Services | 14153 |
| Number Of Medicare Beneficiaries | 8566 |
| Total Submitted Charge Amount | 1891810.08 |
| Total Medicare Allowed Amount | 319259.28 |
| Total Medicare Payment Amount | 248174.38 |
| Total Medicare Standardized Payment Amount | 260896.79 |
| 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 | 182 |
| Number Of Medical Services | 14153 |
| Number Of Medicare Beneficiaries With Medical Services | 8566 |
| Total Medical Submitted Charge Amount | 1891810.08 |
| Total Medical Medicare Allowed Amount | 319259.28 |
| Total Medical Medicare Payment Amount | 248174.38 |
| Total Medical Medicare Standardized Payment Amount | 260896.79 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1962 |
| Number Of Beneficiaries Age 65 to 74 | 3087 |
| Number Of Beneficiaries Age 75 to 84 | 2391 |
| Number Of Beneficiaries Age Greater 84 | 1126 |
| Number Of Female Beneficiaries | 5261 |
| Number Of Male Beneficiaries | 3305 |
| Number Of Non Hispanic White Beneficiaries | 6819 |
| Number Of Black or African American Beneficiaries | 1629 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 69 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4970 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3596 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5168 |