| National Provider Identifier [NPI]: | 1669417309 |
| Last Name Of The Provider | MUNITZ |
| First Name Of The Provider | HENRY |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| 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 | 139 |
| Number Of Services | 15645 |
| Number Of Medicare Beneficiaries | 6581 |
| Total Submitted Charge Amount | 1893231.88 |
| Total Medicare Allowed Amount | 804113 |
| Total Medicare Payment Amount | 727159.12 |
| Total Medicare Standardized Payment Amount | 680740.09 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 3740 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 860.2 |
| Total Drug Medicare AllowedAmount | 797.6 |
| Total Drug Medicare PaymentAmount | 603.3 |
| Total Drug Medicare Standardized Payment Amount | 603.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 138 |
| Number Of Medical Services | 11905 |
| Number Of Medicare Beneficiaries With Medical Services | 6581 |
| Total Medical Submitted Charge Amount | 1892371.68 |
| Total Medical Medicare Allowed Amount | 803315.4 |
| Total Medical Medicare Payment Amount | 726555.82 |
| Total Medical Medicare Standardized Payment Amount | 680136.79 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 603 |
| Number Of Beneficiaries Age 65 to 74 | 3046 |
| Number Of Beneficiaries Age 75 to 84 | 1895 |
| Number Of Beneficiaries Age Greater 84 | 1037 |
| Number Of Female Beneficiaries | 5409 |
| Number Of Male Beneficiaries | 1172 |
| Number Of Non Hispanic White Beneficiaries | 5267 |
| Number Of Black or African American Beneficiaries | 1092 |
| Number Of AsianPacific Islander Beneficiaries | 75 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 83 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5883 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 698 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2117 |