| National Provider Identifier [NPI]: | 1295922359 |
| Last Name Of The Provider | ELIAS |
| First Name Of The Provider | ADAM |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 330 SOUTH MAIN STREET |
| Street Address 2 Of The Provider | RAM RADIOLOGY |
| City Of The Provider | MIDDLETOWN |
| Zip Code Of The Provider | 06457 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 196 |
| Number Of Services | 7436 |
| Number Of Medicare Beneficiaries | 3950 |
| Total Submitted Charge Amount | 923580.55 |
| Total Medicare Allowed Amount | 281279.53 |
| Total Medicare Payment Amount | 218951.49 |
| Total Medicare Standardized Payment Amount | 207852.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 651 |
| Number Of Medicare Beneficiaries With Drug Services | 17 |
| Total Drug Submitted ChargeAmount | 761.25 |
| Total Drug Medicare AllowedAmount | 398.02 |
| Total Drug Medicare PaymentAmount | 312.05 |
| Total Drug Medicare Standardized Payment Amount | 312.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 193 |
| Number Of Medical Services | 6785 |
| Number Of Medicare Beneficiaries With Medical Services | 3950 |
| Total Medical Submitted Charge Amount | 922819.3 |
| Total Medical Medicare Allowed Amount | 280881.51 |
| Total Medical Medicare Payment Amount | 218639.44 |
| Total Medical Medicare Standardized Payment Amount | 207540.85 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 540 |
| Number Of Beneficiaries Age 65 to 74 | 1489 |
| Number Of Beneficiaries Age 75 to 84 | 1158 |
| Number Of Beneficiaries Age Greater 84 | 763 |
| Number Of Female Beneficiaries | 2698 |
| Number Of Male Beneficiaries | 1252 |
| Number Of Non Hispanic White Beneficiaries | 3614 |
| Number Of Black or African American Beneficiaries | 152 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 81 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2880 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1070 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3876 |