| National Provider Identifier [NPI]: | 1629025416 |
| Last Name Of The Provider | TODOROV |
| First Name Of The Provider | ASSEN |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| 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 | 245 |
| Number Of Services | 20454 |
| Number Of Medicare Beneficiaries | 6396 |
| Total Submitted Charge Amount | 1561537.65 |
| Total Medicare Allowed Amount | 581308.73 |
| Total Medicare Payment Amount | 447719.41 |
| Total Medicare Standardized Payment Amount | 442577.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 9718 |
| Number Of Medicare Beneficiaries With Drug Services | 148 |
| Total Drug Submitted ChargeAmount | 4747.05 |
| Total Drug Medicare AllowedAmount | 3043.31 |
| Total Drug Medicare PaymentAmount | 2386.01 |
| Total Drug Medicare Standardized Payment Amount | 2386.01 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 242 |
| Number Of Medical Services | 10736 |
| Number Of Medicare Beneficiaries With Medical Services | 6396 |
| Total Medical Submitted Charge Amount | 1556790.6 |
| Total Medical Medicare Allowed Amount | 578265.42 |
| Total Medical Medicare Payment Amount | 445333.4 |
| Total Medical Medicare Standardized Payment Amount | 440191.62 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 958 |
| Number Of Beneficiaries Age 65 to 74 | 2612 |
| Number Of Beneficiaries Age 75 to 84 | 1971 |
| Number Of Beneficiaries Age Greater 84 | 855 |
| Number Of Female Beneficiaries | 3889 |
| Number Of Male Beneficiaries | 2507 |
| Number Of Non Hispanic White Beneficiaries | 5276 |
| Number Of Black or African American Beneficiaries | 961 |
| Number Of AsianPacific Islander Beneficiaries | 33 |
| Number Of Hispanic Beneficiaries | 68 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 58 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5013 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1383 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6001 |