| National Provider Identifier [NPI]: | 1588659882 |
| Last Name Of The Provider | MAIMAN |
| 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 | 411 30TH ST |
| Street Address 2 Of The Provider | #508 |
| City Of The Provider | OAKLAND |
| Zip Code Of The Provider | 946093310 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 270 |
| Number Of Services | 7554 |
| Number Of Medicare Beneficiaries | 3931 |
| Total Submitted Charge Amount | 991126 |
| Total Medicare Allowed Amount | 256438.23 |
| Total Medicare Payment Amount | 195543.04 |
| Total Medicare Standardized Payment Amount | 188117.88 |
| 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 | 270 |
| Number Of Medical Services | 7554 |
| Number Of Medicare Beneficiaries With Medical Services | 3931 |
| Total Medical Submitted Charge Amount | 991126 |
| Total Medical Medicare Allowed Amount | 256438.23 |
| Total Medical Medicare Payment Amount | 195543.04 |
| Total Medical Medicare Standardized Payment Amount | 188117.88 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 669 |
| Number Of Beneficiaries Age 65 to 74 | 1472 |
| Number Of Beneficiaries Age 75 to 84 | 1189 |
| Number Of Beneficiaries Age Greater 84 | 601 |
| Number Of Female Beneficiaries | 2491 |
| Number Of Male Beneficiaries | 1440 |
| Number Of Non Hispanic White Beneficiaries | 2610 |
| Number Of Black or African American Beneficiaries | 289 |
| Number Of AsianPacific Islander Beneficiaries | 451 |
| Number Of Hispanic Beneficiaries | 498 |
| Number Of American Indian Alaska Native Beneficiaries | 23 |
| Number Of Beneficiaries With Race Not Else where Classified | 60 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2381 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1550 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5971 |