| National Provider Identifier [NPI]: | 1568408474 |
| Last Name Of The Provider | ESPINOLA |
| First Name Of The Provider | DANILO |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| 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 | 181 |
| Number Of Services | 29294 |
| Number Of Medicare Beneficiaries | 4323 |
| Total Submitted Charge Amount | 2443945.31 |
| Total Medicare Allowed Amount | 981405.79 |
| Total Medicare Payment Amount | 753576.22 |
| Total Medicare Standardized Payment Amount | 734856.56 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 23526 |
| Number Of Medicare Beneficiaries With Drug Services | 257 |
| Total Drug Submitted ChargeAmount | 8584.03 |
| Total Drug Medicare AllowedAmount | 5208.08 |
| Total Drug Medicare PaymentAmount | 3835.32 |
| Total Drug Medicare Standardized Payment Amount | 3835.32 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 177 |
| Number Of Medical Services | 5768 |
| Number Of Medicare Beneficiaries With Medical Services | 4323 |
| Total Medical Submitted Charge Amount | 2435361.28 |
| Total Medical Medicare Allowed Amount | 976197.71 |
| Total Medical Medicare Payment Amount | 749740.9 |
| Total Medical Medicare Standardized Payment Amount | 731021.24 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 580 |
| Number Of Beneficiaries Age 65 to 74 | 1848 |
| Number Of Beneficiaries Age 75 to 84 | 1326 |
| Number Of Beneficiaries Age Greater 84 | 569 |
| Number Of Female Beneficiaries | 2666 |
| Number Of Male Beneficiaries | 1657 |
| Number Of Non Hispanic White Beneficiaries | 3486 |
| Number Of Black or African American Beneficiaries | 643 |
| Number Of AsianPacific Islander Beneficiaries | 75 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 63 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3711 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 612 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 23 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5436 |