| National Provider Identifier [NPI]: | 1962732214 |
| Last Name Of The Provider | CAMPBELL |
| First Name Of The Provider | CRAIG |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4110 ASPEN HILL RD |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | ROCKVILLE |
| Zip Code Of The Provider | 208532853 |
| 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 | 139 |
| Number Of Services | 35537 |
| Number Of Medicare Beneficiaries | 3770 |
| Total Submitted Charge Amount | 2110501.94 |
| Total Medicare Allowed Amount | 837575.97 |
| Total Medicare Payment Amount | 659878.93 |
| Total Medicare Standardized Payment Amount | 591110.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 29645 |
| Number Of Medicare Beneficiaries With Drug Services | 384 |
| Total Drug Submitted ChargeAmount | 18735.2 |
| Total Drug Medicare AllowedAmount | 10037.85 |
| Total Drug Medicare PaymentAmount | 7192.24 |
| Total Drug Medicare Standardized Payment Amount | 7192.24 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 136 |
| Number Of Medical Services | 5892 |
| Number Of Medicare Beneficiaries With Medical Services | 3768 |
| Total Medical Submitted Charge Amount | 2091766.74 |
| Total Medical Medicare Allowed Amount | 827538.12 |
| Total Medical Medicare Payment Amount | 652686.69 |
| Total Medical Medicare Standardized Payment Amount | 583918.65 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 447 |
| Number Of Beneficiaries Age 65 to 74 | 1908 |
| Number Of Beneficiaries Age 75 to 84 | 1064 |
| Number Of Beneficiaries Age Greater 84 | 351 |
| Number Of Female Beneficiaries | 2749 |
| Number Of Male Beneficiaries | 1021 |
| Number Of Non Hispanic White Beneficiaries | 1433 |
| Number Of Black or African American Beneficiaries | 1898 |
| Number Of AsianPacific Islander Beneficiaries | 190 |
| Number Of Hispanic Beneficiaries | 180 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3126 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 644 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0842 |