| National Provider Identifier [NPI]: | 1366541518 |
| Last Name Of The Provider | NGUYEN |
| First Name Of The Provider | PAMELA |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 707 E MAIN ST |
| Street Address 2 Of The Provider | RADIOLOGIC ASSOCIATES, PC |
| City Of The Provider | MIDDLETOWN |
| Zip Code Of The Provider | 109402650 |
| 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 | 146 |
| Number Of Services | 9541 |
| Number Of Medicare Beneficiaries | 3250 |
| Total Submitted Charge Amount | 757429.67 |
| Total Medicare Allowed Amount | 267550.24 |
| Total Medicare Payment Amount | 216053.13 |
| Total Medicare Standardized Payment Amount | 205608.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 4195 |
| Number Of Medicare Beneficiaries With Drug Services | 68 |
| Total Drug Submitted ChargeAmount | 2270.1 |
| Total Drug Medicare AllowedAmount | 1880.75 |
| Total Drug Medicare PaymentAmount | 1474.41 |
| Total Drug Medicare Standardized Payment Amount | 1474.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 144 |
| Number Of Medical Services | 5346 |
| Number Of Medicare Beneficiaries With Medical Services | 3250 |
| Total Medical Submitted Charge Amount | 755159.57 |
| Total Medical Medicare Allowed Amount | 265669.49 |
| Total Medical Medicare Payment Amount | 214578.72 |
| Total Medical Medicare Standardized Payment Amount | 204133.9 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 588 |
| Number Of Beneficiaries Age 65 to 74 | 1061 |
| Number Of Beneficiaries Age 75 to 84 | 946 |
| Number Of Beneficiaries Age Greater 84 | 655 |
| Number Of Female Beneficiaries | 2023 |
| Number Of Male Beneficiaries | 1227 |
| Number Of Non Hispanic White Beneficiaries | 2534 |
| Number Of Black or African American Beneficiaries | 346 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 277 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2212 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1038 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.8634 |