| National Provider Identifier [NPI]: | 1952363913 |
| Last Name Of The Provider | CAVIN |
| First Name Of The Provider | LILLIAN |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 383 INVERNESS PKWY |
| Street Address 2 Of The Provider | SUITE 280 |
| City Of The Provider | ENGLEWOOD |
| Zip Code Of The Provider | 801125865 |
| State Code Of The Provider | CO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 154 |
| Number Of Services | 6276 |
| Number Of Medicare Beneficiaries | 4583 |
| Total Submitted Charge Amount | 611807.1 |
| Total Medicare Allowed Amount | 175838.1 |
| Total Medicare Payment Amount | 132943.35 |
| Total Medicare Standardized Payment Amount | 135279.11 |
| 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 | 154 |
| Number Of Medical Services | 6276 |
| Number Of Medicare Beneficiaries With Medical Services | 4583 |
| Total Medical Submitted Charge Amount | 611807.1 |
| Total Medical Medicare Allowed Amount | 175838.1 |
| Total Medical Medicare Payment Amount | 132943.35 |
| Total Medical Medicare Standardized Payment Amount | 135279.11 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 904 |
| Number Of Beneficiaries Age 65 to 74 | 1315 |
| Number Of Beneficiaries Age 75 to 84 | 1325 |
| Number Of Beneficiaries Age Greater 84 | 1039 |
| Number Of Female Beneficiaries | 2632 |
| Number Of Male Beneficiaries | 1951 |
| Number Of Non Hispanic White Beneficiaries | 3290 |
| Number Of Black or African American Beneficiaries | 577 |
| Number Of AsianPacific Islander Beneficiaries | 109 |
| Number Of Hispanic Beneficiaries | 555 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2730 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1853 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 13 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.0114 |