| National Provider Identifier [NPI]: | 1922007632 |
| Last Name Of The Provider | ANTONIO |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1 COLUMBIA ST |
| Street Address 2 Of The Provider | DRA IMAGING, P.C. |
| City Of The Provider | POUGHKEEPSIE |
| Zip Code Of The Provider | 126013923 |
| 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 | 191 |
| Number Of Services | 11250 |
| Number Of Medicare Beneficiaries | 4324 |
| Total Submitted Charge Amount | 909867.89 |
| Total Medicare Allowed Amount | 268501.78 |
| Total Medicare Payment Amount | 213243.24 |
| Total Medicare Standardized Payment Amount | 205350.43 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 4303 |
| Number Of Medicare Beneficiaries With Drug Services | 59 |
| Total Drug Submitted ChargeAmount | 1420.71 |
| Total Drug Medicare AllowedAmount | 1067.48 |
| Total Drug Medicare PaymentAmount | 836.82 |
| Total Drug Medicare Standardized Payment Amount | 836.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 186 |
| Number Of Medical Services | 6947 |
| Number Of Medicare Beneficiaries With Medical Services | 4324 |
| Total Medical Submitted Charge Amount | 908447.18 |
| Total Medical Medicare Allowed Amount | 267434.3 |
| Total Medical Medicare Payment Amount | 212406.42 |
| Total Medical Medicare Standardized Payment Amount | 204513.61 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 620 |
| Number Of Beneficiaries Age 65 to 74 | 1461 |
| Number Of Beneficiaries Age 75 to 84 | 1356 |
| Number Of Beneficiaries Age Greater 84 | 887 |
| Number Of Female Beneficiaries | 2720 |
| Number Of Male Beneficiaries | 1604 |
| Number Of Non Hispanic White Beneficiaries | 3769 |
| Number Of Black or African American Beneficiaries | 289 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 156 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 73 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3266 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1058 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6679 |