| National Provider Identifier [NPI]: | 1053523662 |
| Last Name Of The Provider | FEINMAN |
| First Name Of The Provider | CHARLES |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 27351 DEQUINDRE |
| Street Address 2 Of The Provider | |
| City Of The Provider | MADISON HTS |
| Zip Code Of The Provider | 48071 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 150 |
| Number Of Services | 25372.1 |
| Number Of Medicare Beneficiaries | 2510 |
| Total Submitted Charge Amount | 1283447.25 |
| Total Medicare Allowed Amount | 668708.35 |
| Total Medicare Payment Amount | 533495.46 |
| Total Medicare Standardized Payment Amount | 528767.88 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 18925 |
| Number Of Medicare Beneficiaries With Drug Services | 177 |
| Total Drug Submitted ChargeAmount | 44666.25 |
| Total Drug Medicare AllowedAmount | 3913.48 |
| Total Drug Medicare PaymentAmount | 3069.75 |
| Total Drug Medicare Standardized Payment Amount | 3069.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 142 |
| Number Of Medical Services | 6447.1 |
| Number Of Medicare Beneficiaries With Medical Services | 2510 |
| Total Medical Submitted Charge Amount | 1238781 |
| Total Medical Medicare Allowed Amount | 664794.87 |
| Total Medical Medicare Payment Amount | 530425.71 |
| Total Medical Medicare Standardized Payment Amount | 525698.13 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 519 |
| Number Of Beneficiaries Age 65 to 74 | 1027 |
| Number Of Beneficiaries Age 75 to 84 | 730 |
| Number Of Beneficiaries Age Greater 84 | 234 |
| Number Of Female Beneficiaries | 1684 |
| Number Of Male Beneficiaries | 826 |
| Number Of Non Hispanic White Beneficiaries | 1937 |
| Number Of Black or African American Beneficiaries | 383 |
| Number Of AsianPacific Islander Beneficiaries | 78 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 87 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1803 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 707 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3225 |