| National Provider Identifier [NPI]: | 1043254220 |
| Last Name Of The Provider | PAYNE |
| First Name Of The Provider | MICHAEL |
| 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 | 501 E HAMPDEN AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | ENGLEWOOD |
| Zip Code Of The Provider | 801132702 |
| State Code Of The Provider | CO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 145 |
| Number Of Services | 16285 |
| Number Of Medicare Beneficiaries | 3687 |
| Total Submitted Charge Amount | 738947 |
| Total Medicare Allowed Amount | 233795.42 |
| Total Medicare Payment Amount | 177533.36 |
| Total Medicare Standardized Payment Amount | 178780.93 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 11651 |
| Number Of Medicare Beneficiaries With Drug Services | 110 |
| Total Drug Submitted ChargeAmount | 12855 |
| Total Drug Medicare AllowedAmount | 2502.13 |
| Total Drug Medicare PaymentAmount | 1961.5 |
| Total Drug Medicare Standardized Payment Amount | 1961.5 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 143 |
| Number Of Medical Services | 4634 |
| Number Of Medicare Beneficiaries With Medical Services | 3687 |
| Total Medical Submitted Charge Amount | 726092 |
| Total Medical Medicare Allowed Amount | 231293.29 |
| Total Medical Medicare Payment Amount | 175571.86 |
| Total Medical Medicare Standardized Payment Amount | 176819.43 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 528 |
| Number Of Beneficiaries Age 65 to 74 | 1315 |
| Number Of Beneficiaries Age 75 to 84 | 1112 |
| Number Of Beneficiaries Age Greater 84 | 732 |
| Number Of Female Beneficiaries | 2046 |
| Number Of Male Beneficiaries | 1641 |
| Number Of Non Hispanic White Beneficiaries | 3208 |
| Number Of Black or African American Beneficiaries | 136 |
| Number Of AsianPacific Islander Beneficiaries | 70 |
| Number Of Hispanic Beneficiaries | 215 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2985 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 702 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7781 |