| National Provider Identifier [NPI]: | 1215928353 |
| Last Name Of The Provider | MILITAR |
| First Name Of The Provider | EPIFANIO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 427 GUY PARK AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | AMSTERDAM |
| Zip Code Of The Provider | 120101054 |
| 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 | 189 |
| Number Of Services | 6496 |
| Number Of Medicare Beneficiaries | 3655 |
| Total Submitted Charge Amount | 598157 |
| Total Medicare Allowed Amount | 175906.76 |
| Total Medicare Payment Amount | 138885.7 |
| Total Medicare Standardized Payment Amount | 143949.08 |
| 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 | 189 |
| Number Of Medical Services | 6496 |
| Number Of Medicare Beneficiaries With Medical Services | 3655 |
| Total Medical Submitted Charge Amount | 598157 |
| Total Medical Medicare Allowed Amount | 175906.76 |
| Total Medical Medicare Payment Amount | 138885.7 |
| Total Medical Medicare Standardized Payment Amount | 143949.08 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 904 |
| Number Of Beneficiaries Age 65 to 74 | 1093 |
| Number Of Beneficiaries Age 75 to 84 | 898 |
| Number Of Beneficiaries Age Greater 84 | 760 |
| Number Of Female Beneficiaries | 2214 |
| Number Of Male Beneficiaries | 1441 |
| Number Of Non Hispanic White Beneficiaries | 3304 |
| Number Of Black or African American Beneficiaries | 84 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 179 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 65 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2195 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1460 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6146 |