| National Provider Identifier [NPI]: | 1942261359 |
| Last Name Of The Provider | RADACK |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2235 STAPLES MILL RD STE 104 |
| Street Address 2 Of The Provider | AMERICAN ACCESS CARE OF RICHMOND |
| City Of The Provider | RICHMOND |
| Zip Code Of The Provider | 232302942 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 255 |
| Number Of Services | 10532 |
| Number Of Medicare Beneficiaries | 5338 |
| Total Submitted Charge Amount | 1040352.5 |
| Total Medicare Allowed Amount | 284955.92 |
| Total Medicare Payment Amount | 216363.67 |
| Total Medicare Standardized Payment Amount | 227588.51 |
| 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 | 255 |
| Number Of Medical Services | 10532 |
| Number Of Medicare Beneficiaries With Medical Services | 5338 |
| Total Medical Submitted Charge Amount | 1040352.5 |
| Total Medical Medicare Allowed Amount | 284955.92 |
| Total Medical Medicare Payment Amount | 216363.67 |
| Total Medical Medicare Standardized Payment Amount | 227588.51 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1480 |
| Number Of Beneficiaries Age 65 to 74 | 1716 |
| Number Of Beneficiaries Age 75 to 84 | 1456 |
| Number Of Beneficiaries Age Greater 84 | 686 |
| Number Of Female Beneficiaries | 3237 |
| Number Of Male Beneficiaries | 2101 |
| Number Of Non Hispanic White Beneficiaries | 5195 |
| Number Of Black or African American Beneficiaries | 27 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2700 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2638 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.4226 |