| National Provider Identifier [NPI]: | 1790009041 |
| Last Name Of The Provider | GOLDBERG |
| First Name Of The Provider | JUDD |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12500 WILLOWBROOK RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | CUMBERLAND |
| Zip Code Of The Provider | 215026393 |
| 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 | 224 |
| Number Of Services | 9576 |
| Number Of Medicare Beneficiaries | 4179 |
| Total Submitted Charge Amount | 1160643.21 |
| Total Medicare Allowed Amount | 445762.81 |
| Total Medicare Payment Amount | 342532.38 |
| Total Medicare Standardized Payment Amount | 340572.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 212 |
| Number Of Medicare Beneficiaries With Drug Services | 186 |
| Total Drug Submitted ChargeAmount | 4867.6 |
| Total Drug Medicare AllowedAmount | 203.96 |
| Total Drug Medicare PaymentAmount | 157.21 |
| Total Drug Medicare Standardized Payment Amount | 157.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 221 |
| Number Of Medical Services | 9364 |
| Number Of Medicare Beneficiaries With Medical Services | 4179 |
| Total Medical Submitted Charge Amount | 1155775.61 |
| Total Medical Medicare Allowed Amount | 445558.85 |
| Total Medical Medicare Payment Amount | 342375.17 |
| Total Medical Medicare Standardized Payment Amount | 340415.05 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 570 |
| Number Of Beneficiaries Age 65 to 74 | 1595 |
| Number Of Beneficiaries Age 75 to 84 | 1255 |
| Number Of Beneficiaries Age Greater 84 | 759 |
| Number Of Female Beneficiaries | 2661 |
| Number Of Male Beneficiaries | 1518 |
| Number Of Non Hispanic White Beneficiaries | 3733 |
| Number Of Black or African American Beneficiaries | 294 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 52 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3532 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 647 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5026 |