| National Provider Identifier [NPI]: | 1053359893 |
| Last Name Of The Provider | EHRLICH |
| First Name Of The Provider | CONRAD |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 67 SAND PIT RD STE 105 |
| Street Address 2 Of The Provider | HOUSATONIC VALLEY RADIOLOGICAL ASSOC. PC |
| City Of The Provider | DANBURY |
| Zip Code Of The Provider | 068104032 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 154 |
| Number Of Services | 16591 |
| Number Of Medicare Beneficiaries | 2784 |
| Total Submitted Charge Amount | 2053925.8 |
| Total Medicare Allowed Amount | 577743.5 |
| Total Medicare Payment Amount | 481828.54 |
| Total Medicare Standardized Payment Amount | 440853.15 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 10932 |
| Number Of Medicare Beneficiaries With Drug Services | 119 |
| Total Drug Submitted ChargeAmount | 10216.8 |
| Total Drug Medicare AllowedAmount | 3384.63 |
| Total Drug Medicare PaymentAmount | 2658.82 |
| Total Drug Medicare Standardized Payment Amount | 2658.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 149 |
| Number Of Medical Services | 5659 |
| Number Of Medicare Beneficiaries With Medical Services | 2784 |
| Total Medical Submitted Charge Amount | 2043709 |
| Total Medical Medicare Allowed Amount | 574358.87 |
| Total Medical Medicare Payment Amount | 479169.72 |
| Total Medical Medicare Standardized Payment Amount | 438194.33 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 212 |
| Number Of Beneficiaries Age 65 to 74 | 1297 |
| Number Of Beneficiaries Age 75 to 84 | 934 |
| Number Of Beneficiaries Age Greater 84 | 341 |
| Number Of Female Beneficiaries | 2239 |
| Number Of Male Beneficiaries | 545 |
| Number Of Non Hispanic White Beneficiaries | 2585 |
| Number Of Black or African American Beneficiaries | 48 |
| Number Of AsianPacific Islander Beneficiaries | 30 |
| Number Of Hispanic Beneficiaries | 78 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2343 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 441 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 9 |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 23 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 22 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9504 |