| National Provider Identifier [NPI]: | 1629027891 |
| Last Name Of The Provider | RIESER |
| First Name Of The Provider | GEOFFREY |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3155 MAPLEWOOD AVENUE |
| Street Address 2 Of The Provider | |
| City Of The Provider | WINSTON SALEM |
| Zip Code Of The Provider | 27103 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 183 |
| Number Of Services | 8145 |
| Number Of Medicare Beneficiaries | 5583 |
| Total Submitted Charge Amount | 693995 |
| Total Medicare Allowed Amount | 215783.55 |
| Total Medicare Payment Amount | 162683.63 |
| Total Medicare Standardized Payment Amount | 169595.45 |
| 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 | 183 |
| Number Of Medical Services | 8145 |
| Number Of Medicare Beneficiaries With Medical Services | 5583 |
| Total Medical Submitted Charge Amount | 693995 |
| Total Medical Medicare Allowed Amount | 215783.55 |
| Total Medical Medicare Payment Amount | 162683.63 |
| Total Medical Medicare Standardized Payment Amount | 169595.45 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1082 |
| Number Of Beneficiaries Age 65 to 74 | 2220 |
| Number Of Beneficiaries Age 75 to 84 | 1509 |
| Number Of Beneficiaries Age Greater 84 | 772 |
| Number Of Female Beneficiaries | 3530 |
| Number Of Male Beneficiaries | 2053 |
| Number Of Non Hispanic White Beneficiaries | 4732 |
| Number Of Black or African American Beneficiaries | 708 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 66 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 55 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4150 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1433 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5126 |