| National Provider Identifier [NPI]: | 1346457884 |
| Last Name Of The Provider | DASCAL |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 306 E 96TH ST APT 3E |
| Street Address 2 Of The Provider | |
| City Of The Provider | NEW YORK |
| Zip Code Of The Provider | 101283847 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 213 |
| Number Of Services | 7150 |
| Number Of Medicare Beneficiaries | 3184 |
| Total Submitted Charge Amount | 1465322.45 |
| Total Medicare Allowed Amount | 299194.49 |
| Total Medicare Payment Amount | 235899.15 |
| Total Medicare Standardized Payment Amount | 229340.2 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1901 |
| Number Of Medicare Beneficiaries With Drug Services | 39 |
| Total Drug Submitted ChargeAmount | 4605 |
| Total Drug Medicare AllowedAmount | 1073.69 |
| Total Drug Medicare PaymentAmount | 841.77 |
| Total Drug Medicare Standardized Payment Amount | 841.77 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 210 |
| Number Of Medical Services | 5249 |
| Number Of Medicare Beneficiaries With Medical Services | 3184 |
| Total Medical Submitted Charge Amount | 1460717.45 |
| Total Medical Medicare Allowed Amount | 298120.8 |
| Total Medical Medicare Payment Amount | 235057.38 |
| Total Medical Medicare Standardized Payment Amount | 228498.43 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 425 |
| Number Of Beneficiaries Age 65 to 74 | 891 |
| Number Of Beneficiaries Age 75 to 84 | 1017 |
| Number Of Beneficiaries Age Greater 84 | 851 |
| Number Of Female Beneficiaries | 1935 |
| Number Of Male Beneficiaries | 1249 |
| Number Of Non Hispanic White Beneficiaries | 2621 |
| Number Of Black or African American Beneficiaries | 230 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 271 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2406 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 778 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9856 |