| National Provider Identifier [NPI]: | 1699766584 |
| Last Name Of The Provider | ODELL |
| First Name Of The Provider | GEORGE |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2002 MEDICAL PKWY |
| Street Address 2 Of The Provider | SUITE #235 |
| City Of The Provider | ANNAPOLIS |
| Zip Code Of The Provider | 214013046 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 213 |
| Number Of Services | 22381 |
| Number Of Medicare Beneficiaries | 3340 |
| Total Submitted Charge Amount | 1067612.3 |
| Total Medicare Allowed Amount | 349834.94 |
| Total Medicare Payment Amount | 267633.8 |
| Total Medicare Standardized Payment Amount | 255579.51 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 17187 |
| Number Of Medicare Beneficiaries With Drug Services | 203 |
| Total Drug Submitted ChargeAmount | 17580 |
| Total Drug Medicare AllowedAmount | 3569.77 |
| Total Drug Medicare PaymentAmount | 2621.43 |
| Total Drug Medicare Standardized Payment Amount | 2621.43 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 209 |
| Number Of Medical Services | 5194 |
| Number Of Medicare Beneficiaries With Medical Services | 3337 |
| Total Medical Submitted Charge Amount | 1050032.3 |
| Total Medical Medicare Allowed Amount | 346265.17 |
| Total Medical Medicare Payment Amount | 265012.37 |
| Total Medical Medicare Standardized Payment Amount | 252958.08 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 341 |
| Number Of Beneficiaries Age 65 to 74 | 1304 |
| Number Of Beneficiaries Age 75 to 84 | 1079 |
| Number Of Beneficiaries Age Greater 84 | 616 |
| Number Of Female Beneficiaries | 2009 |
| Number Of Male Beneficiaries | 1331 |
| Number Of Non Hispanic White Beneficiaries | 2670 |
| Number Of Black or African American Beneficiaries | 584 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2979 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 361 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6069 |