| National Provider Identifier [NPI]: | 1750366829 |
| Last Name Of The Provider | SHINAVER |
| First Name Of The Provider | CHRISTINA |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5901 TECHNOLOGY CENTER DRIVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | INDIANAPOLIS |
| Zip Code Of The Provider | 462786013 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 104 |
| Number Of Services | 5776 |
| Number Of Medicare Beneficiaries | 2977 |
| Total Submitted Charge Amount | 784942 |
| Total Medicare Allowed Amount | 220816.81 |
| Total Medicare Payment Amount | 170238.28 |
| Total Medicare Standardized Payment Amount | 181001.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 2142 |
| Number Of Medicare Beneficiaries With Drug Services | 27 |
| Total Drug Submitted ChargeAmount | 2368 |
| Total Drug Medicare AllowedAmount | 739.66 |
| Total Drug Medicare PaymentAmount | 579.89 |
| Total Drug Medicare Standardized Payment Amount | 579.89 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 102 |
| Number Of Medical Services | 3634 |
| Number Of Medicare Beneficiaries With Medical Services | 2977 |
| Total Medical Submitted Charge Amount | 782574 |
| Total Medical Medicare Allowed Amount | 220077.15 |
| Total Medical Medicare Payment Amount | 169658.39 |
| Total Medical Medicare Standardized Payment Amount | 180421.81 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 581 |
| Number Of Beneficiaries Age 65 to 74 | 1065 |
| Number Of Beneficiaries Age 75 to 84 | 811 |
| Number Of Beneficiaries Age Greater 84 | 520 |
| Number Of Female Beneficiaries | 1749 |
| Number Of Male Beneficiaries | 1228 |
| Number Of Non Hispanic White Beneficiaries | 2681 |
| Number Of Black or African American Beneficiaries | 216 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2184 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 793 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 1.4924 |