| National Provider Identifier [NPI]: | 1528054517 |
| Last Name Of The Provider | AMSTUTZ |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 AINSWORTH DR |
| Street Address 2 Of The Provider | SUITE 115 |
| City Of The Provider | PRESCOTT |
| Zip Code Of The Provider | 863051667 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 226 |
| Number Of Services | 18609 |
| Number Of Medicare Beneficiaries | 4421 |
| Total Submitted Charge Amount | 1383307.52 |
| Total Medicare Allowed Amount | 395906.75 |
| Total Medicare Payment Amount | 300044.92 |
| Total Medicare Standardized Payment Amount | 306421.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 10764 |
| Number Of Medicare Beneficiaries With Drug Services | 137 |
| Total Drug Submitted ChargeAmount | 11500.52 |
| Total Drug Medicare AllowedAmount | 2872.61 |
| Total Drug Medicare PaymentAmount | 2117.49 |
| Total Drug Medicare Standardized Payment Amount | 2117.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 223 |
| Number Of Medical Services | 7845 |
| Number Of Medicare Beneficiaries With Medical Services | 4421 |
| Total Medical Submitted Charge Amount | 1371807 |
| Total Medical Medicare Allowed Amount | 393034.14 |
| Total Medical Medicare Payment Amount | 297927.43 |
| Total Medical Medicare Standardized Payment Amount | 304303.81 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 379 |
| Number Of Beneficiaries Age 65 to 74 | 1910 |
| Number Of Beneficiaries Age 75 to 84 | 1456 |
| Number Of Beneficiaries Age Greater 84 | 676 |
| Number Of Female Beneficiaries | 2704 |
| Number Of Male Beneficiaries | 1717 |
| Number Of Non Hispanic White Beneficiaries | 4190 |
| Number Of Black or African American Beneficiaries | 12 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 148 |
| Number Of American Indian Alaska Native Beneficiaries | 20 |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3986 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 435 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.2322 |