| National Provider Identifier [NPI]: | 1528260262 |
| Last Name Of The Provider | DUBES |
| First Name Of The Provider | MICHELLE |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3501 N SCOTTSDALE RD |
| Street Address 2 Of The Provider | SUITE 130 |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852515648 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 157 |
| Number Of Services | 46992 |
| Number Of Medicare Beneficiaries | 3260 |
| Total Submitted Charge Amount | 2373606.2 |
| Total Medicare Allowed Amount | 571251.42 |
| Total Medicare Payment Amount | 434597.1 |
| Total Medicare Standardized Payment Amount | 449734.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 41221 |
| Number Of Medicare Beneficiaries With Drug Services | 469 |
| Total Drug Submitted ChargeAmount | 84010.2 |
| Total Drug Medicare AllowedAmount | 13086.69 |
| Total Drug Medicare PaymentAmount | 10198.42 |
| Total Drug Medicare Standardized Payment Amount | 10198.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 153 |
| Number Of Medical Services | 5771 |
| Number Of Medicare Beneficiaries With Medical Services | 3260 |
| Total Medical Submitted Charge Amount | 2289596 |
| Total Medical Medicare Allowed Amount | 558164.73 |
| Total Medical Medicare Payment Amount | 424398.68 |
| Total Medical Medicare Standardized Payment Amount | 439536.2 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 229 |
| Number Of Beneficiaries Age 65 to 74 | 1382 |
| Number Of Beneficiaries Age 75 to 84 | 1061 |
| Number Of Beneficiaries Age Greater 84 | 588 |
| Number Of Female Beneficiaries | 1816 |
| Number Of Male Beneficiaries | 1444 |
| Number Of Non Hispanic White Beneficiaries | 3023 |
| Number Of Black or African American Beneficiaries | 45 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 76 |
| Number Of American Indian Alaska Native Beneficiaries | 41 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3046 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 214 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.3601 |