| National Provider Identifier [NPI]: | 1467408286 |
| Last Name Of The Provider | LIBBY |
| First Name Of The Provider | PETER |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 E CARROLL ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALISBURY |
| Zip Code Of The Provider | 218015422 |
| 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 | 246 |
| Number Of Services | 18324 |
| Number Of Medicare Beneficiaries | 5749 |
| Total Submitted Charge Amount | 1572223.2 |
| Total Medicare Allowed Amount | 569520.25 |
| Total Medicare Payment Amount | 444620.97 |
| Total Medicare Standardized Payment Amount | 441096.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 8431 |
| Number Of Medicare Beneficiaries With Drug Services | 149 |
| Total Drug Submitted ChargeAmount | 4578.6 |
| Total Drug Medicare AllowedAmount | 3001.21 |
| Total Drug Medicare PaymentAmount | 2324.28 |
| Total Drug Medicare Standardized Payment Amount | 2324.28 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 243 |
| Number Of Medical Services | 9893 |
| Number Of Medicare Beneficiaries With Medical Services | 5748 |
| Total Medical Submitted Charge Amount | 1567644.6 |
| Total Medical Medicare Allowed Amount | 566519.04 |
| Total Medical Medicare Payment Amount | 442296.69 |
| Total Medical Medicare Standardized Payment Amount | 438772.55 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 843 |
| Number Of Beneficiaries Age 65 to 74 | 2313 |
| Number Of Beneficiaries Age 75 to 84 | 1761 |
| Number Of Beneficiaries Age Greater 84 | 832 |
| Number Of Female Beneficiaries | 3508 |
| Number Of Male Beneficiaries | 2241 |
| Number Of Non Hispanic White Beneficiaries | 4670 |
| Number Of Black or African American Beneficiaries | 947 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 51 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4472 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1277 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6295 |