| National Provider Identifier [NPI]: | 1952343477 |
| Last Name Of The Provider | POSSEHN |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 800 E 20TH ST |
| Street Address 2 Of The Provider | SUITE 110 |
| City Of The Provider | CHEYENNE |
| Zip Code Of The Provider | 820013859 |
| State Code Of The Provider | WY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 251 |
| Number Of Services | 14476 |
| Number Of Medicare Beneficiaries | 3711 |
| Total Submitted Charge Amount | 489914.43 |
| Total Medicare Allowed Amount | 374280.65 |
| Total Medicare Payment Amount | 287675.64 |
| Total Medicare Standardized Payment Amount | 289977.4 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 7402 |
| Number Of Medicare Beneficiaries With Drug Services | 105 |
| Total Drug Submitted ChargeAmount | 1793.46 |
| Total Drug Medicare AllowedAmount | 1621.79 |
| Total Drug Medicare PaymentAmount | 1264.12 |
| Total Drug Medicare Standardized Payment Amount | 1264.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 247 |
| Number Of Medical Services | 7074 |
| Number Of Medicare Beneficiaries With Medical Services | 3711 |
| Total Medical Submitted Charge Amount | 488120.97 |
| Total Medical Medicare Allowed Amount | 372658.86 |
| Total Medical Medicare Payment Amount | 286411.52 |
| Total Medical Medicare Standardized Payment Amount | 288713.28 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 578 |
| Number Of Beneficiaries Age 65 to 74 | 1463 |
| Number Of Beneficiaries Age 75 to 84 | 1101 |
| Number Of Beneficiaries Age Greater 84 | 569 |
| Number Of Female Beneficiaries | 2330 |
| Number Of Male Beneficiaries | 1381 |
| Number Of Non Hispanic White Beneficiaries | 3302 |
| Number Of Black or African American Beneficiaries | 62 |
| Number Of AsianPacific Islander Beneficiaries | 17 |
| Number Of Hispanic Beneficiaries | 274 |
| Number Of American Indian Alaska Native Beneficiaries | 23 |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2868 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 843 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 41 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2799 |