| National Provider Identifier [NPI]: | 1154374718 |
| Last Name Of The Provider | GHANI |
| First Name Of The Provider | MAZEN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 725 NORTH ST |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | PITTSFIELD |
| Zip Code Of The Provider | 012014132 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 180 |
| Number Of Services | 10524 |
| Number Of Medicare Beneficiaries | 5945 |
| Total Submitted Charge Amount | 815479 |
| Total Medicare Allowed Amount | 269696.43 |
| Total Medicare Payment Amount | 212279.68 |
| Total Medicare Standardized Payment Amount | 211356.09 |
| 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 | 180 |
| Number Of Medical Services | 10524 |
| Number Of Medicare Beneficiaries With Medical Services | 5945 |
| Total Medical Submitted Charge Amount | 815479 |
| Total Medical Medicare Allowed Amount | 269696.43 |
| Total Medical Medicare Payment Amount | 212279.68 |
| Total Medical Medicare Standardized Payment Amount | 211356.09 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1215 |
| Number Of Beneficiaries Age 65 to 74 | 2297 |
| Number Of Beneficiaries Age 75 to 84 | 1543 |
| Number Of Beneficiaries Age Greater 84 | 890 |
| Number Of Female Beneficiaries | 4038 |
| Number Of Male Beneficiaries | 1907 |
| Number Of Non Hispanic White Beneficiaries | 5652 |
| Number Of Black or African American Beneficiaries | 99 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 78 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 98 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4149 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1796 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 62 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2664 |