| National Provider Identifier [NPI]: | 1730199514 |
| Last Name Of The Provider | VENNOS |
| First Name Of The Provider | ANDREW |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 E CARROLL ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALISBURY |
| Zip Code Of The Provider | 218015422 |
| 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 | 306 |
| Number Of Services | 17187 |
| Number Of Medicare Beneficiaries | 6002 |
| Total Submitted Charge Amount | 1793621.3 |
| Total Medicare Allowed Amount | 618931.73 |
| Total Medicare Payment Amount | 480077.95 |
| Total Medicare Standardized Payment Amount | 476411.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6434 |
| Number Of Medicare Beneficiaries With Drug Services | 109 |
| Total Drug Submitted ChargeAmount | 3461.9 |
| Total Drug Medicare AllowedAmount | 2286.63 |
| Total Drug Medicare PaymentAmount | 1786.57 |
| Total Drug Medicare Standardized Payment Amount | 1786.57 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 304 |
| Number Of Medical Services | 10753 |
| Number Of Medicare Beneficiaries With Medical Services | 6001 |
| Total Medical Submitted Charge Amount | 1790159.4 |
| Total Medical Medicare Allowed Amount | 616645.1 |
| Total Medical Medicare Payment Amount | 478291.38 |
| Total Medical Medicare Standardized Payment Amount | 474625.34 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 970 |
| Number Of Beneficiaries Age 65 to 74 | 2383 |
| Number Of Beneficiaries Age 75 to 84 | 1867 |
| Number Of Beneficiaries Age Greater 84 | 782 |
| Number Of Female Beneficiaries | 3610 |
| Number Of Male Beneficiaries | 2392 |
| Number Of Non Hispanic White Beneficiaries | 4804 |
| Number Of Black or African American Beneficiaries | 1060 |
| Number Of AsianPacific Islander Beneficiaries | 31 |
| Number Of Hispanic Beneficiaries | 57 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4538 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1464 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.7929 |