| National Provider Identifier [NPI]: | 1508808379 |
| Last Name Of The Provider | SWEREN |
| First Name Of The Provider | BENNETT |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| 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 | 161 |
| Number Of Services | 44473 |
| Number Of Medicare Beneficiaries | 5571 |
| Total Submitted Charge Amount | 1936368.77 |
| Total Medicare Allowed Amount | 575502.85 |
| Total Medicare Payment Amount | 427847.5 |
| Total Medicare Standardized Payment Amount | 407358.42 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 36497 |
| Number Of Medicare Beneficiaries With Drug Services | 370 |
| Total Drug Submitted ChargeAmount | 8878.8 |
| Total Drug Medicare AllowedAmount | 7052.11 |
| Total Drug Medicare PaymentAmount | 4983.95 |
| Total Drug Medicare Standardized Payment Amount | 4983.95 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 156 |
| Number Of Medical Services | 7976 |
| Number Of Medicare Beneficiaries With Medical Services | 5571 |
| Total Medical Submitted Charge Amount | 1927489.97 |
| Total Medical Medicare Allowed Amount | 568450.74 |
| Total Medical Medicare Payment Amount | 422863.55 |
| Total Medical Medicare Standardized Payment Amount | 402374.47 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 898 |
| Number Of Beneficiaries Age 65 to 74 | 2181 |
| Number Of Beneficiaries Age 75 to 84 | 1621 |
| Number Of Beneficiaries Age Greater 84 | 871 |
| Number Of Female Beneficiaries | 3492 |
| Number Of Male Beneficiaries | 2079 |
| Number Of Non Hispanic White Beneficiaries | 4609 |
| Number Of Black or African American Beneficiaries | 764 |
| Number Of AsianPacific Islander Beneficiaries | 73 |
| Number Of Hispanic Beneficiaries | 61 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4633 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 938 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5684 |