| National Provider Identifier [NPI]: | 1992803597 |
| Last Name Of The Provider | MARINELLI |
| First Name Of The Provider | PAUL |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 322 E ANTIETAM ST |
| Street Address 2 Of The Provider | SUITE 106 |
| City Of The Provider | HAGERSTOWN |
| Zip Code Of The Provider | 217405794 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 170 |
| Number Of Services | 26626 |
| Number Of Medicare Beneficiaries | 3434 |
| Total Submitted Charge Amount | 1109894 |
| Total Medicare Allowed Amount | 395779.02 |
| Total Medicare Payment Amount | 298429.9 |
| Total Medicare Standardized Payment Amount | 298903.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 21139 |
| Number Of Medicare Beneficiaries With Drug Services | 272 |
| Total Drug Submitted ChargeAmount | 23413 |
| Total Drug Medicare AllowedAmount | 6086.06 |
| Total Drug Medicare PaymentAmount | 4736.78 |
| Total Drug Medicare Standardized Payment Amount | 4736.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 168 |
| Number Of Medical Services | 5487 |
| Number Of Medicare Beneficiaries With Medical Services | 3434 |
| Total Medical Submitted Charge Amount | 1086481 |
| Total Medical Medicare Allowed Amount | 389692.96 |
| Total Medical Medicare Payment Amount | 293693.12 |
| Total Medical Medicare Standardized Payment Amount | 294166.26 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 702 |
| Number Of Beneficiaries Age 65 to 74 | 1175 |
| Number Of Beneficiaries Age 75 to 84 | 980 |
| Number Of Beneficiaries Age Greater 84 | 577 |
| Number Of Female Beneficiaries | 2003 |
| Number Of Male Beneficiaries | 1431 |
| Number Of Non Hispanic White Beneficiaries | 3207 |
| Number Of Black or African American Beneficiaries | 149 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 42 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2561 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 873 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7469 |