| National Provider Identifier [NPI]: | 1144298506 |
| Last Name Of The Provider | ARVIN |
| First Name Of The Provider | MARK |
| 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 | 253 SAGAMORE PKWY W |
| Street Address 2 Of The Provider | |
| City Of The Provider | WEST LAFAYETTE |
| Zip Code Of The Provider | 479061501 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 203 |
| Number Of Services | 37376 |
| Number Of Medicare Beneficiaries | 5801 |
| Total Submitted Charge Amount | 3155420.85 |
| Total Medicare Allowed Amount | 596835.69 |
| Total Medicare Payment Amount | 451484.6 |
| Total Medicare Standardized Payment Amount | 487093.16 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 26399 |
| Number Of Medicare Beneficiaries With Drug Services | 334 |
| Total Drug Submitted ChargeAmount | 47410 |
| Total Drug Medicare AllowedAmount | 6765.54 |
| Total Drug Medicare PaymentAmount | 5177.59 |
| Total Drug Medicare Standardized Payment Amount | 5177.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 197 |
| Number Of Medical Services | 10977 |
| Number Of Medicare Beneficiaries With Medical Services | 5799 |
| Total Medical Submitted Charge Amount | 3108010.85 |
| Total Medical Medicare Allowed Amount | 590070.15 |
| Total Medical Medicare Payment Amount | 446307.01 |
| Total Medical Medicare Standardized Payment Amount | 481915.57 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1048 |
| Number Of Beneficiaries Age 65 to 74 | 2146 |
| Number Of Beneficiaries Age 75 to 84 | 1646 |
| Number Of Beneficiaries Age Greater 84 | 961 |
| Number Of Female Beneficiaries | 3495 |
| Number Of Male Beneficiaries | 2306 |
| Number Of Non Hispanic White Beneficiaries | 5598 |
| Number Of Black or African American Beneficiaries | 68 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 69 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4407 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1394 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4815 |