| National Provider Identifier [NPI]: | 1336149319 |
| Last Name Of The Provider | DIMARCANGELO |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2201 CHAPEL AVE W |
| Street Address 2 Of The Provider | ATTN: RADIOLOGY |
| City Of The Provider | CHERRY HILL |
| Zip Code Of The Provider | 080022048 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 180 |
| Number Of Services | 8220 |
| Number Of Medicare Beneficiaries | 4105 |
| Total Submitted Charge Amount | 1179305.2 |
| Total Medicare Allowed Amount | 326887.19 |
| Total Medicare Payment Amount | 258805.42 |
| Total Medicare Standardized Payment Amount | 241990.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1622 |
| Number Of Medicare Beneficiaries With Drug Services | 23 |
| Total Drug Submitted ChargeAmount | 1465 |
| Total Drug Medicare AllowedAmount | 556.38 |
| Total Drug Medicare PaymentAmount | 415.23 |
| Total Drug Medicare Standardized Payment Amount | 415.23 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 178 |
| Number Of Medical Services | 6598 |
| Number Of Medicare Beneficiaries With Medical Services | 4105 |
| Total Medical Submitted Charge Amount | 1177840.2 |
| Total Medical Medicare Allowed Amount | 326330.81 |
| Total Medical Medicare Payment Amount | 258390.19 |
| Total Medical Medicare Standardized Payment Amount | 241575.39 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 514 |
| Number Of Beneficiaries Age 65 to 74 | 1553 |
| Number Of Beneficiaries Age 75 to 84 | 1291 |
| Number Of Beneficiaries Age Greater 84 | 747 |
| Number Of Female Beneficiaries | 2715 |
| Number Of Male Beneficiaries | 1390 |
| Number Of Non Hispanic White Beneficiaries | 3711 |
| Number Of Black or African American Beneficiaries | 204 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 118 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3559 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 546 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6041 |