| National Provider Identifier [NPI]: | 1689607426 |
| Last Name Of The Provider | LUSTER |
| First Name Of The Provider | ERIKA |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4491 VENOY RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | WAYNE |
| Zip Code Of The Provider | 481842530 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 174 |
| Number Of Services | 6884 |
| Number Of Medicare Beneficiaries | 4659 |
| Total Submitted Charge Amount | 523516 |
| Total Medicare Allowed Amount | 196309.53 |
| Total Medicare Payment Amount | 147990.72 |
| Total Medicare Standardized Payment Amount | 145521.87 |
| 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 | 174 |
| Number Of Medical Services | 6884 |
| Number Of Medicare Beneficiaries With Medical Services | 4659 |
| Total Medical Submitted Charge Amount | 523516 |
| Total Medical Medicare Allowed Amount | 196309.53 |
| Total Medical Medicare Payment Amount | 147990.72 |
| Total Medical Medicare Standardized Payment Amount | 145521.87 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1127 |
| Number Of Beneficiaries Age 65 to 74 | 1467 |
| Number Of Beneficiaries Age 75 to 84 | 1228 |
| Number Of Beneficiaries Age Greater 84 | 837 |
| Number Of Female Beneficiaries | 2783 |
| Number Of Male Beneficiaries | 1876 |
| Number Of Non Hispanic White Beneficiaries | 3499 |
| Number Of Black or African American Beneficiaries | 842 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 171 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 76 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3056 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1603 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 27 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 45 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 53 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.1875 |