| National Provider Identifier [NPI]: | 1669468526 |
| Last Name Of The Provider | D'ANGELO |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1000 AINSWORTH DR |
| Street Address 2 Of The Provider | SUITE 115 |
| City Of The Provider | PRESCOTT |
| Zip Code Of The Provider | 863051667 |
| 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 | 241 |
| Number Of Services | 20400 |
| Number Of Medicare Beneficiaries | 5295 |
| Total Submitted Charge Amount | 1706199.56 |
| Total Medicare Allowed Amount | 496438.81 |
| Total Medicare Payment Amount | 385918.27 |
| Total Medicare Standardized Payment Amount | 393476.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 10723 |
| Number Of Medicare Beneficiaries With Drug Services | 168 |
| Total Drug Submitted ChargeAmount | 13377.56 |
| Total Drug Medicare AllowedAmount | 3459.82 |
| Total Drug Medicare PaymentAmount | 2591.49 |
| Total Drug Medicare Standardized Payment Amount | 2591.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 237 |
| Number Of Medical Services | 9677 |
| Number Of Medicare Beneficiaries With Medical Services | 5295 |
| Total Medical Submitted Charge Amount | 1692822 |
| Total Medical Medicare Allowed Amount | 492978.99 |
| Total Medical Medicare Payment Amount | 383326.78 |
| Total Medical Medicare Standardized Payment Amount | 390885 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 455 |
| Number Of Beneficiaries Age 65 to 74 | 2434 |
| Number Of Beneficiaries Age 75 to 84 | 1737 |
| Number Of Beneficiaries Age Greater 84 | 669 |
| Number Of Female Beneficiaries | 3411 |
| Number Of Male Beneficiaries | 1884 |
| Number Of Non Hispanic White Beneficiaries | 4952 |
| Number Of Black or African American Beneficiaries | 41 |
| Number Of AsianPacific Islander Beneficiaries | 34 |
| Number Of Hispanic Beneficiaries | 185 |
| Number Of American Indian Alaska Native Beneficiaries | 19 |
| Number Of Beneficiaries With Race Not Else where Classified | 64 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4750 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 545 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.2305 |