| National Provider Identifier [NPI]: | 1184664849 |
| Last Name Of The Provider | LIEBMAN |
| First Name Of The Provider | CURT |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4000 KRESGE WAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | LOUISVILLE |
| Zip Code Of The Provider | 402074605 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 220 |
| Number Of Services | 13104 |
| Number Of Medicare Beneficiaries | 7495 |
| Total Submitted Charge Amount | 1701481 |
| Total Medicare Allowed Amount | 302819.89 |
| Total Medicare Payment Amount | 236650.89 |
| Total Medicare Standardized Payment Amount | 251955.48 |
| 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 | 220 |
| Number Of Medical Services | 13104 |
| Number Of Medicare Beneficiaries With Medical Services | 7495 |
| Total Medical Submitted Charge Amount | 1701481 |
| Total Medical Medicare Allowed Amount | 302819.89 |
| Total Medical Medicare Payment Amount | 236650.89 |
| Total Medical Medicare Standardized Payment Amount | 251955.48 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 817 |
| Number Of Beneficiaries Age 65 to 74 | 2535 |
| Number Of Beneficiaries Age 75 to 84 | 2504 |
| Number Of Beneficiaries Age Greater 84 | 1639 |
| Number Of Female Beneficiaries | 4633 |
| Number Of Male Beneficiaries | 2862 |
| Number Of Non Hispanic White Beneficiaries | 6905 |
| Number Of Black or African American Beneficiaries | 438 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 48 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 72 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6483 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1012 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6023 |