| National Provider Identifier [NPI]: | 1528058070 |
| Last Name Of The Provider | GOLDING |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 20 CATAMORE BLVD |
| Street Address 2 Of The Provider | RHODE ISLAND MEDICAL IMAGING |
| City Of The Provider | EAST PROVIDENCE |
| Zip Code Of The Provider | 02914 |
| 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 | 110 |
| Number Of Services | 20529 |
| Number Of Medicare Beneficiaries | 3618 |
| Total Submitted Charge Amount | 719080 |
| Total Medicare Allowed Amount | 226142.68 |
| Total Medicare Payment Amount | 170686.74 |
| Total Medicare Standardized Payment Amount | 165913.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 14500 |
| Number Of Medicare Beneficiaries With Drug Services | 106 |
| Total Drug Submitted ChargeAmount | 7975 |
| Total Drug Medicare AllowedAmount | 2783.7 |
| Total Drug Medicare PaymentAmount | 2182.2 |
| Total Drug Medicare Standardized Payment Amount | 2182.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 109 |
| Number Of Medical Services | 6029 |
| Number Of Medicare Beneficiaries With Medical Services | 3618 |
| Total Medical Submitted Charge Amount | 711105 |
| Total Medical Medicare Allowed Amount | 223358.98 |
| Total Medical Medicare Payment Amount | 168504.54 |
| Total Medical Medicare Standardized Payment Amount | 163731.47 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 772 |
| Number Of Beneficiaries Age 65 to 74 | 1208 |
| Number Of Beneficiaries Age 75 to 84 | 1002 |
| Number Of Beneficiaries Age Greater 84 | 636 |
| Number Of Female Beneficiaries | 1976 |
| Number Of Male Beneficiaries | 1642 |
| Number Of Non Hispanic White Beneficiaries | 2949 |
| Number Of Black or African American Beneficiaries | 188 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 359 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 63 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2433 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1185 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8494 |