| National Provider Identifier [NPI]: | 1851387781 |
| Last Name Of The Provider | SISK |
| First Name Of The Provider | LEONARD |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3200 PROVIDENCE DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | ANCHORAGE |
| Zip Code Of The Provider | 995084661 |
| State Code Of The Provider | AK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 203 |
| Number Of Services | 9598 |
| Number Of Medicare Beneficiaries | 2787 |
| Total Submitted Charge Amount | 1217379 |
| Total Medicare Allowed Amount | 261606.74 |
| Total Medicare Payment Amount | 192998.35 |
| Total Medicare Standardized Payment Amount | 151717.86 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 4729 |
| Number Of Medicare Beneficiaries With Drug Services | 48 |
| Total Drug Submitted ChargeAmount | 4878 |
| Total Drug Medicare AllowedAmount | 1344.16 |
| Total Drug Medicare PaymentAmount | 1053.83 |
| Total Drug Medicare Standardized Payment Amount | 1053.83 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 200 |
| Number Of Medical Services | 4869 |
| Number Of Medicare Beneficiaries With Medical Services | 2787 |
| Total Medical Submitted Charge Amount | 1212501 |
| Total Medical Medicare Allowed Amount | 260262.58 |
| Total Medical Medicare Payment Amount | 191944.52 |
| Total Medical Medicare Standardized Payment Amount | 150664.03 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 573 |
| Number Of Beneficiaries Age 65 to 74 | 1158 |
| Number Of Beneficiaries Age 75 to 84 | 739 |
| Number Of Beneficiaries Age Greater 84 | 317 |
| Number Of Female Beneficiaries | 1617 |
| Number Of Male Beneficiaries | 1170 |
| Number Of Non Hispanic White Beneficiaries | 2107 |
| Number Of Black or African American Beneficiaries | 162 |
| Number Of AsianPacific Islander Beneficiaries | 227 |
| Number Of Hispanic Beneficiaries | 98 |
| Number Of American Indian Alaska Native Beneficiaries | 122 |
| Number Of Beneficiaries With Race Not Else where Classified | 71 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1758 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1029 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 47 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6738 |