| National Provider Identifier [NPI]: | 1982660296 |
| Last Name Of The Provider | SARSON |
| First Name Of The Provider | MICHAEL |
| 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 | 580 COURT ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | KEENE |
| Zip Code Of The Provider | 034311715 |
| State Code Of The Provider | NH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 248 |
| Number Of Services | 12285 |
| Number Of Medicare Beneficiaries | 5094 |
| Total Submitted Charge Amount | 1635991 |
| Total Medicare Allowed Amount | 370720.93 |
| Total Medicare Payment Amount | 285950.44 |
| Total Medicare Standardized Payment Amount | 286958.23 |
| 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 | 248 |
| Number Of Medical Services | 12285 |
| Number Of Medicare Beneficiaries With Medical Services | 5094 |
| Total Medical Submitted Charge Amount | 1635991 |
| Total Medical Medicare Allowed Amount | 370720.93 |
| Total Medical Medicare Payment Amount | 285950.44 |
| Total Medical Medicare Standardized Payment Amount | 286958.23 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 916 |
| Number Of Beneficiaries Age 65 to 74 | 2006 |
| Number Of Beneficiaries Age 75 to 84 | 1406 |
| Number Of Beneficiaries Age Greater 84 | 766 |
| Number Of Female Beneficiaries | 3252 |
| Number Of Male Beneficiaries | 1842 |
| Number Of Non Hispanic White Beneficiaries | 4946 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 90 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4059 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1035 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 46 |
| Percent Of With Hypertension | 57 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.169 |