| National Provider Identifier [NPI]: | 1689846123 |
| Last Name Of The Provider | RIOS |
| First Name Of The Provider | JOSE |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD PHD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | STONY BROOK UNIVERSITY HOSPITAL |
| Street Address 2 Of The Provider | DEPT OF RADIOLOGY |
| City Of The Provider | STONY BROOK |
| Zip Code Of The Provider | 117948460 |
| 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 | 119 |
| Number Of Services | 6323 |
| Number Of Medicare Beneficiaries | 3446 |
| Total Submitted Charge Amount | 1119542.45 |
| Total Medicare Allowed Amount | 245120.33 |
| Total Medicare Payment Amount | 184098.42 |
| Total Medicare Standardized Payment Amount | 173390.92 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 871 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 865.45 |
| Total Drug Medicare AllowedAmount | 600.54 |
| Total Drug Medicare PaymentAmount | 470.79 |
| Total Drug Medicare Standardized Payment Amount | 470.79 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 117 |
| Number Of Medical Services | 5452 |
| Number Of Medicare Beneficiaries With Medical Services | 3446 |
| Total Medical Submitted Charge Amount | 1118677 |
| Total Medical Medicare Allowed Amount | 244519.79 |
| Total Medical Medicare Payment Amount | 183627.63 |
| Total Medical Medicare Standardized Payment Amount | 172920.13 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 316 |
| Number Of Beneficiaries Age 65 to 74 | 1111 |
| Number Of Beneficiaries Age 75 to 84 | 1205 |
| Number Of Beneficiaries Age Greater 84 | 814 |
| Number Of Female Beneficiaries | 1873 |
| Number Of Male Beneficiaries | 1573 |
| Number Of Non Hispanic White Beneficiaries | 3068 |
| Number Of Black or African American Beneficiaries | 151 |
| Number Of AsianPacific Islander Beneficiaries | 68 |
| Number Of Hispanic Beneficiaries | 107 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3025 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 421 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 1.8033 |