| National Provider Identifier [NPI]: | 1669439444 |
| Last Name Of The Provider | SHIVERS |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 25 PENNCRAFT AVE |
| Street Address 2 Of The Provider | SUITE E |
| City Of The Provider | CHAMBERSBURG |
| Zip Code Of The Provider | 172015600 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 220 |
| Number Of Services | 8172 |
| Number Of Medicare Beneficiaries | 4611 |
| Total Submitted Charge Amount | 908319 |
| Total Medicare Allowed Amount | 241429.37 |
| Total Medicare Payment Amount | 183959.01 |
| Total Medicare Standardized Payment Amount | 189291.17 |
| 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 | 220 |
| Number Of Medical Services | 8172 |
| Number Of Medicare Beneficiaries With Medical Services | 4611 |
| Total Medical Submitted Charge Amount | 908319 |
| Total Medical Medicare Allowed Amount | 241429.37 |
| Total Medical Medicare Payment Amount | 183959.01 |
| Total Medical Medicare Standardized Payment Amount | 189291.17 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 728 |
| Number Of Beneficiaries Age 65 to 74 | 1505 |
| Number Of Beneficiaries Age 75 to 84 | 1411 |
| Number Of Beneficiaries Age Greater 84 | 967 |
| Number Of Female Beneficiaries | 2735 |
| Number Of Male Beneficiaries | 1876 |
| Number Of Non Hispanic White Beneficiaries | 4404 |
| Number Of Black or African American Beneficiaries | 103 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 60 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3617 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 994 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6233 |