| National Provider Identifier [NPI]: | 1801842497 |
| Last Name Of The Provider | STATZ |
| First Name Of The Provider | EVA |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 81 HIGHLAND AVE |
| Street Address 2 Of The Provider | COMMONWEALTH RADIOLOGY ASSOCIATES, INC. |
| City Of The Provider | SALEM |
| Zip Code Of The Provider | 019702714 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 164 |
| Number Of Services | 6047 |
| Number Of Medicare Beneficiaries | 4143 |
| Total Submitted Charge Amount | 526243 |
| Total Medicare Allowed Amount | 160814.43 |
| Total Medicare Payment Amount | 123554.96 |
| Total Medicare Standardized Payment Amount | 122551.79 |
| 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 | 164 |
| Number Of Medical Services | 6047 |
| Number Of Medicare Beneficiaries With Medical Services | 4143 |
| Total Medical Submitted Charge Amount | 526243 |
| Total Medical Medicare Allowed Amount | 160814.43 |
| Total Medical Medicare Payment Amount | 123554.96 |
| Total Medical Medicare Standardized Payment Amount | 122551.79 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 753 |
| Number Of Beneficiaries Age 65 to 74 | 1274 |
| Number Of Beneficiaries Age 75 to 84 | 1202 |
| Number Of Beneficiaries Age Greater 84 | 914 |
| Number Of Female Beneficiaries | 2474 |
| Number Of Male Beneficiaries | 1669 |
| Number Of Non Hispanic White Beneficiaries | 3686 |
| Number Of Black or African American Beneficiaries | 120 |
| Number Of AsianPacific Islander Beneficiaries | 34 |
| Number Of Hispanic Beneficiaries | 231 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 72 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2788 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1355 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 16 |
| 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 | 1.6822 |