| National Provider Identifier [NPI]: | 1104827526 |
| Last Name Of The Provider | KAMEN |
| First Name Of The Provider | CRAIG |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1214 SPRING ST |
| Street Address 2 Of The Provider | SUITE 2 |
| City Of The Provider | JEFFERSONVILLE |
| Zip Code Of The Provider | 471303704 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 205 |
| Number Of Services | 8222 |
| Number Of Medicare Beneficiaries | 4744 |
| Total Submitted Charge Amount | 735754.5 |
| Total Medicare Allowed Amount | 239375.1 |
| Total Medicare Payment Amount | 185534.94 |
| Total Medicare Standardized Payment Amount | 196324.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 839 |
| Number Of Medicare Beneficiaries With Drug Services | 13 |
| Total Drug Submitted ChargeAmount | 1193 |
| Total Drug Medicare AllowedAmount | 246.44 |
| Total Drug Medicare PaymentAmount | 193.2 |
| Total Drug Medicare Standardized Payment Amount | 193.2 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 7383 |
| Number Of Medicare Beneficiaries With Medical Services | 4744 |
| Total Medical Submitted Charge Amount | 734561.5 |
| Total Medical Medicare Allowed Amount | 239128.66 |
| Total Medical Medicare Payment Amount | 185341.74 |
| Total Medical Medicare Standardized Payment Amount | 196131.45 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1063 |
| Number Of Beneficiaries Age 65 to 74 | 1757 |
| Number Of Beneficiaries Age 75 to 84 | 1324 |
| Number Of Beneficiaries Age Greater 84 | 600 |
| Number Of Female Beneficiaries | 3054 |
| Number Of Male Beneficiaries | 1690 |
| Number Of Non Hispanic White Beneficiaries | 4377 |
| Number Of Black or African American Beneficiaries | 258 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3385 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1359 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7025 |