| National Provider Identifier [NPI]: | 1841244613 |
| Last Name Of The Provider | SMERUD |
| 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 | 3500 GASTON AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | DALLAS |
| Zip Code Of The Provider | 75246 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 133 |
| Number Of Services | 16245 |
| Number Of Medicare Beneficiaries | 7724 |
| Total Submitted Charge Amount | 856125 |
| Total Medicare Allowed Amount | 231454.85 |
| Total Medicare Payment Amount | 175184.85 |
| Total Medicare Standardized Payment Amount | 176649.22 |
| 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 | 133 |
| Number Of Medical Services | 16245 |
| Number Of Medicare Beneficiaries With Medical Services | 7724 |
| Total Medical Submitted Charge Amount | 856125 |
| Total Medical Medicare Allowed Amount | 231454.85 |
| Total Medical Medicare Payment Amount | 175184.85 |
| Total Medical Medicare Standardized Payment Amount | 176649.22 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1857 |
| Number Of Beneficiaries Age 65 to 74 | 2784 |
| Number Of Beneficiaries Age 75 to 84 | 2006 |
| Number Of Beneficiaries Age Greater 84 | 1077 |
| Number Of Female Beneficiaries | 4240 |
| Number Of Male Beneficiaries | 3484 |
| Number Of Non Hispanic White Beneficiaries | 5003 |
| Number Of Black or African American Beneficiaries | 1966 |
| Number Of AsianPacific Islander Beneficiaries | 68 |
| Number Of Hispanic Beneficiaries | 599 |
| Number Of American Indian Alaska Native Beneficiaries | 26 |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5513 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2211 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.157 |