| National Provider Identifier [NPI]: | 1780683615 |
| Last Name Of The Provider | BROMLEY |
| First Name Of The Provider | MICHAEL |
| 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 | 1 COLUMBIA ST |
| Street Address 2 Of The Provider | DRA IMAGING, P.C. |
| City Of The Provider | POUGHKEEPSIE |
| Zip Code Of The Provider | 126013923 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 191 |
| Number Of Services | 11919 |
| Number Of Medicare Beneficiaries | 3143 |
| Total Submitted Charge Amount | 1207232.58 |
| Total Medicare Allowed Amount | 348760.2 |
| Total Medicare Payment Amount | 277179.31 |
| Total Medicare Standardized Payment Amount | 265955.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 6958 |
| Number Of Medicare Beneficiaries With Drug Services | 110 |
| Total Drug Submitted ChargeAmount | 2780.41 |
| Total Drug Medicare AllowedAmount | 1828.9 |
| Total Drug Medicare PaymentAmount | 1431.85 |
| Total Drug Medicare Standardized Payment Amount | 1431.85 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 184 |
| Number Of Medical Services | 4961 |
| Number Of Medicare Beneficiaries With Medical Services | 3143 |
| Total Medical Submitted Charge Amount | 1204452.17 |
| Total Medical Medicare Allowed Amount | 346931.3 |
| Total Medical Medicare Payment Amount | 275747.46 |
| Total Medical Medicare Standardized Payment Amount | 264523.74 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 475 |
| Number Of Beneficiaries Age 65 to 74 | 1215 |
| Number Of Beneficiaries Age 75 to 84 | 938 |
| Number Of Beneficiaries Age Greater 84 | 515 |
| Number Of Female Beneficiaries | 2138 |
| Number Of Male Beneficiaries | 1005 |
| Number Of Non Hispanic White Beneficiaries | 2725 |
| Number Of Black or African American Beneficiaries | 191 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 112 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 65 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2444 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 699 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5307 |