| National Provider Identifier [NPI]: | 1306833405 |
| Last Name Of The Provider | LAZINGER |
| First Name Of The Provider | MAXWELL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1316 OLD HIGHWAY 63 S |
| Street Address 2 Of The Provider | SUITE 102 |
| City Of The Provider | COLUMBIA |
| Zip Code Of The Provider | 652016092 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 309 |
| Number Of Services | 11444 |
| Number Of Medicare Beneficiaries | 5863 |
| Total Submitted Charge Amount | 1422866.67 |
| Total Medicare Allowed Amount | 372344.89 |
| Total Medicare Payment Amount | 282605.21 |
| Total Medicare Standardized Payment Amount | 296640.83 |
| 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 | 309 |
| Number Of Medical Services | 11444 |
| Number Of Medicare Beneficiaries With Medical Services | 5863 |
| Total Medical Submitted Charge Amount | 1422866.67 |
| Total Medical Medicare Allowed Amount | 372344.89 |
| Total Medical Medicare Payment Amount | 282605.21 |
| Total Medical Medicare Standardized Payment Amount | 296640.83 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 773 |
| Number Of Beneficiaries Age 65 to 74 | 2187 |
| Number Of Beneficiaries Age 75 to 84 | 1942 |
| Number Of Beneficiaries Age Greater 84 | 961 |
| Number Of Female Beneficiaries | 3325 |
| Number Of Male Beneficiaries | 2538 |
| Number Of Non Hispanic White Beneficiaries | 5578 |
| Number Of Black or African American Beneficiaries | 176 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 63 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4971 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 892 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5064 |