| National Provider Identifier [NPI]: | 1033168588 |
| Last Name Of The Provider | LANDSNES |
| 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 | 1001 SAM PERRY BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | FREDERICKSBURG |
| Zip Code Of The Provider | 224014453 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 153 |
| Number Of Services | 11138 |
| Number Of Medicare Beneficiaries | 3465 |
| Total Submitted Charge Amount | 2224143 |
| Total Medicare Allowed Amount | 468792.94 |
| Total Medicare Payment Amount | 359023.3 |
| Total Medicare Standardized Payment Amount | 366225.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5715 |
| Number Of Medicare Beneficiaries With Drug Services | 57 |
| Total Drug Submitted ChargeAmount | 11375 |
| Total Drug Medicare AllowedAmount | 1095.48 |
| Total Drug Medicare PaymentAmount | 810.49 |
| Total Drug Medicare Standardized Payment Amount | 810.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 151 |
| Number Of Medical Services | 5423 |
| Number Of Medicare Beneficiaries With Medical Services | 3465 |
| Total Medical Submitted Charge Amount | 2212768 |
| Total Medical Medicare Allowed Amount | 467697.46 |
| Total Medical Medicare Payment Amount | 358212.81 |
| Total Medical Medicare Standardized Payment Amount | 365414.53 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 516 |
| Number Of Beneficiaries Age 65 to 74 | 1373 |
| Number Of Beneficiaries Age 75 to 84 | 1079 |
| Number Of Beneficiaries Age Greater 84 | 497 |
| Number Of Female Beneficiaries | 1976 |
| Number Of Male Beneficiaries | 1489 |
| Number Of Non Hispanic White Beneficiaries | 2768 |
| Number Of Black or African American Beneficiaries | 584 |
| Number Of AsianPacific Islander Beneficiaries | 30 |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2849 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 616 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7586 |