| National Provider Identifier [NPI]: | 1710166731 |
| Last Name Of The Provider | ZAMOS |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 140 ACADEMY ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | PRESQUE ISLE |
| Zip Code Of The Provider | 04769 |
| State Code Of The Provider | ME |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 255 |
| Number Of Services | 14351 |
| Number Of Medicare Beneficiaries | 6765 |
| Total Submitted Charge Amount | 1595127 |
| Total Medicare Allowed Amount | 436767.2 |
| Total Medicare Payment Amount | 336473.93 |
| Total Medicare Standardized Payment Amount | 336276.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 255 |
| Number Of Medical Services | 14351 |
| Number Of Medicare Beneficiaries With Medical Services | 6765 |
| Total Medical Submitted Charge Amount | 1595127 |
| Total Medical Medicare Allowed Amount | 436767.2 |
| Total Medical Medicare Payment Amount | 336473.93 |
| Total Medical Medicare Standardized Payment Amount | 336276.49 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 746 |
| Number Of Beneficiaries Age 65 to 74 | 2465 |
| Number Of Beneficiaries Age 75 to 84 | 2354 |
| Number Of Beneficiaries Age Greater 84 | 1200 |
| Number Of Female Beneficiaries | 4096 |
| Number Of Male Beneficiaries | 2669 |
| Number Of Non Hispanic White Beneficiaries | 6347 |
| Number Of Black or African American Beneficiaries | 125 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 169 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 74 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5610 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1155 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.4202 |