| National Provider Identifier [NPI]: | 1710095096 |
| Last Name Of The Provider | DRUCKMAN |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 115 CASS AVE |
| Street Address 2 Of The Provider | HOSPITAL BASED - LANDMARK MEDICAL CENTER |
| City Of The Provider | WOONSOCKET |
| Zip Code Of The Provider | 02895 |
| State Code Of The Provider | RI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 172 |
| Number Of Services | 8563 |
| Number Of Medicare Beneficiaries | 3293 |
| Total Submitted Charge Amount | 600805 |
| Total Medicare Allowed Amount | 264449.28 |
| Total Medicare Payment Amount | 200862.71 |
| Total Medicare Standardized Payment Amount | 194391.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2496 |
| Number Of Medicare Beneficiaries With Drug Services | 29 |
| Total Drug Submitted ChargeAmount | 4592 |
| Total Drug Medicare AllowedAmount | 481.74 |
| Total Drug Medicare PaymentAmount | 377.68 |
| Total Drug Medicare Standardized Payment Amount | 377.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 171 |
| Number Of Medical Services | 6067 |
| Number Of Medicare Beneficiaries With Medical Services | 3293 |
| Total Medical Submitted Charge Amount | 596213 |
| Total Medical Medicare Allowed Amount | 263967.54 |
| Total Medical Medicare Payment Amount | 200485.03 |
| Total Medical Medicare Standardized Payment Amount | 194013.49 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 869 |
| Number Of Beneficiaries Age 65 to 74 | 1091 |
| Number Of Beneficiaries Age 75 to 84 | 764 |
| Number Of Beneficiaries Age Greater 84 | 569 |
| Number Of Female Beneficiaries | 2206 |
| Number Of Male Beneficiaries | 1087 |
| Number Of Non Hispanic White Beneficiaries | 2987 |
| Number Of Black or African American Beneficiaries | 64 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 175 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2062 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1231 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4701 |