| National Provider Identifier [NPI]: | 1124224811 |
| Last Name Of The Provider | MONROE |
| First Name Of The Provider | BRIAN |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 21 CROSSROADS DR |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | OWINGS MILLS |
| Zip Code Of The Provider | 211175441 |
| 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 | 210 |
| Number Of Services | 9841 |
| Number Of Medicare Beneficiaries | 4840 |
| Total Submitted Charge Amount | 921246.8 |
| Total Medicare Allowed Amount | 265843.29 |
| Total Medicare Payment Amount | 200040.38 |
| Total Medicare Standardized Payment Amount | 193469.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 1740 |
| Number Of Medicare Beneficiaries With Drug Services | 17 |
| Total Drug Submitted ChargeAmount | 400.2 |
| Total Drug Medicare AllowedAmount | 400.2 |
| Total Drug Medicare PaymentAmount | 296.15 |
| Total Drug Medicare Standardized Payment Amount | 296.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 209 |
| Number Of Medical Services | 8101 |
| Number Of Medicare Beneficiaries With Medical Services | 4840 |
| Total Medical Submitted Charge Amount | 920846.6 |
| Total Medical Medicare Allowed Amount | 265443.09 |
| Total Medical Medicare Payment Amount | 199744.23 |
| Total Medical Medicare Standardized Payment Amount | 193173.67 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 727 |
| Number Of Beneficiaries Age 65 to 74 | 1686 |
| Number Of Beneficiaries Age 75 to 84 | 1489 |
| Number Of Beneficiaries Age Greater 84 | 938 |
| Number Of Female Beneficiaries | 2891 |
| Number Of Male Beneficiaries | 1949 |
| Number Of Non Hispanic White Beneficiaries | 4246 |
| Number Of Black or African American Beneficiaries | 453 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3996 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 844 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.7435 |