| National Provider Identifier [NPI]: | 1730113978 |
| Last Name Of The Provider | WEKSBERG |
| First Name Of The Provider | ALLAN |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 22 S GREENE ST |
| Street Address 2 Of The Provider | ROOM N2E16 |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212011544 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 99 |
| Number Of Services | 9039 |
| Number Of Medicare Beneficiaries | 4861 |
| Total Submitted Charge Amount | 381847.3 |
| Total Medicare Allowed Amount | 142324.82 |
| Total Medicare Payment Amount | 108139.61 |
| Total Medicare Standardized Payment Amount | 102114.69 |
| Drug Suppress Indicator | * |
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| Medical SuppressIndicator | # |
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| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1243 |
| Number Of Beneficiaries Age 65 to 74 | 1555 |
| Number Of Beneficiaries Age 75 to 84 | 1309 |
| Number Of Beneficiaries Age Greater 84 | 754 |
| Number Of Female Beneficiaries | 2920 |
| Number Of Male Beneficiaries | 1941 |
| Number Of Non Hispanic White Beneficiaries | 1920 |
| Number Of Black or African American Beneficiaries | 2824 |
| Number Of AsianPacific Islander Beneficiaries | 45 |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3170 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1691 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.3862 |