| National Provider Identifier [NPI]: | 1992737712 |
| Last Name Of The Provider | BURNSTEIN |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2799 WEST GRAND BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | DETROIT |
| Zip Code Of The Provider | 48202 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 135 |
| Number Of Services | 14574 |
| Number Of Medicare Beneficiaries | 9040 |
| Total Submitted Charge Amount | 627717 |
| Total Medicare Allowed Amount | 200782.96 |
| Total Medicare Payment Amount | 141453.54 |
| Total Medicare Standardized Payment Amount | 137115.86 |
| 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 | 135 |
| Number Of Medical Services | 14574 |
| Number Of Medicare Beneficiaries With Medical Services | 9040 |
| Total Medical Submitted Charge Amount | 627717 |
| Total Medical Medicare Allowed Amount | 200782.96 |
| Total Medical Medicare Payment Amount | 141453.54 |
| Total Medical Medicare Standardized Payment Amount | 137115.86 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1792 |
| Number Of Beneficiaries Age 65 to 74 | 2936 |
| Number Of Beneficiaries Age 75 to 84 | 2513 |
| Number Of Beneficiaries Age Greater 84 | 1799 |
| Number Of Female Beneficiaries | 5207 |
| Number Of Male Beneficiaries | 3833 |
| Number Of Non Hispanic White Beneficiaries | 5792 |
| Number Of Black or African American Beneficiaries | 2728 |
| Number Of AsianPacific Islander Beneficiaries | 201 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 184 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6411 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2629 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.2824 |