| National Provider Identifier [NPI]: | 1275658353 |
| Last Name Of The Provider | WALSH |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2142 N COVE BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TOLEDO |
| Zip Code Of The Provider | 436063895 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 184 |
| Number Of Services | 7358 |
| Number Of Medicare Beneficiaries | 4639 |
| Total Submitted Charge Amount | 584866 |
| Total Medicare Allowed Amount | 187287.26 |
| Total Medicare Payment Amount | 137915.89 |
| Total Medicare Standardized Payment Amount | 143615.03 |
| 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 | 184 |
| Number Of Medical Services | 7358 |
| Number Of Medicare Beneficiaries With Medical Services | 4639 |
| Total Medical Submitted Charge Amount | 584866 |
| Total Medical Medicare Allowed Amount | 187287.26 |
| Total Medical Medicare Payment Amount | 137915.89 |
| Total Medical Medicare Standardized Payment Amount | 143615.03 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 962 |
| Number Of Beneficiaries Age 65 to 74 | 1681 |
| Number Of Beneficiaries Age 75 to 84 | 1300 |
| Number Of Beneficiaries Age Greater 84 | 696 |
| Number Of Female Beneficiaries | 2587 |
| Number Of Male Beneficiaries | 2052 |
| Number Of Non Hispanic White Beneficiaries | 3819 |
| Number Of Black or African American Beneficiaries | 600 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 128 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 63 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3454 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1185 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.8667 |