| National Provider Identifier [NPI]: | 1316936107 |
| Last Name Of The Provider | MADSEN |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1125 E SOUTHERN AVE |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | MESA |
| Zip Code Of The Provider | 852045045 |
| 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 | 208 |
| Number Of Services | 30119 |
| Number Of Medicare Beneficiaries | 3498 |
| Total Submitted Charge Amount | 1453394.28 |
| Total Medicare Allowed Amount | 388957.66 |
| Total Medicare Payment Amount | 294452.53 |
| Total Medicare Standardized Payment Amount | 302136.79 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 25287 |
| Number Of Medicare Beneficiaries With Drug Services | 273 |
| Total Drug Submitted ChargeAmount | 43957.28 |
| Total Drug Medicare AllowedAmount | 7102.82 |
| Total Drug Medicare PaymentAmount | 5564.4 |
| Total Drug Medicare Standardized Payment Amount | 5564.4 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 4832 |
| Number Of Medicare Beneficiaries With Medical Services | 3498 |
| Total Medical Submitted Charge Amount | 1409437 |
| Total Medical Medicare Allowed Amount | 381854.84 |
| Total Medical Medicare Payment Amount | 288888.13 |
| Total Medical Medicare Standardized Payment Amount | 296572.39 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 341 |
| Number Of Beneficiaries Age 65 to 74 | 1496 |
| Number Of Beneficiaries Age 75 to 84 | 1147 |
| Number Of Beneficiaries Age Greater 84 | 514 |
| Number Of Female Beneficiaries | 1975 |
| Number Of Male Beneficiaries | 1523 |
| Number Of Non Hispanic White Beneficiaries | 3035 |
| Number Of Black or African American Beneficiaries | 96 |
| Number Of AsianPacific Islander Beneficiaries | 35 |
| Number Of Hispanic Beneficiaries | 214 |
| Number Of American Indian Alaska Native Beneficiaries | 73 |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3071 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 427 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.6745 |