| National Provider Identifier [NPI]: | 1548234909 |
| Last Name Of The Provider | SCHWARTZ |
| First Name Of The Provider | MARVIN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1101 NOTT ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SCHENECTADY |
| Zip Code Of The Provider | 123082425 |
| 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 | 144 |
| Number Of Services | 4167 |
| Number Of Medicare Beneficiaries | 2592 |
| Total Submitted Charge Amount | 426006.18 |
| Total Medicare Allowed Amount | 154564.41 |
| Total Medicare Payment Amount | 119425.93 |
| Total Medicare Standardized Payment Amount | 126117.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 144 |
| Number Of Medical Services | 4167 |
| Number Of Medicare Beneficiaries With Medical Services | 2592 |
| Total Medical Submitted Charge Amount | 426006.18 |
| Total Medical Medicare Allowed Amount | 154564.41 |
| Total Medical Medicare Payment Amount | 119425.93 |
| Total Medical Medicare Standardized Payment Amount | 126117.47 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 552 |
| Number Of Beneficiaries Age 65 to 74 | 774 |
| Number Of Beneficiaries Age 75 to 84 | 701 |
| Number Of Beneficiaries Age Greater 84 | 565 |
| Number Of Female Beneficiaries | 1658 |
| Number Of Male Beneficiaries | 934 |
| Number Of Non Hispanic White Beneficiaries | 2261 |
| Number Of Black or African American Beneficiaries | 150 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 72 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 59 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1805 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 787 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5608 |