| National Provider Identifier [NPI]: | 1427084151 |
| Last Name Of The Provider | VANDERMEER |
| First Name Of The Provider | PETER |
| 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 | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| 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 | 141 |
| Number Of Services | 16685 |
| Number Of Medicare Beneficiaries | 2933 |
| Total Submitted Charge Amount | 2271196.48 |
| Total Medicare Allowed Amount | 576765.09 |
| Total Medicare Payment Amount | 438094.54 |
| Total Medicare Standardized Payment Amount | 414662.44 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 12933 |
| Number Of Medicare Beneficiaries With Drug Services | 373 |
| Total Drug Submitted ChargeAmount | 16826.8 |
| Total Drug Medicare AllowedAmount | 10842.94 |
| Total Drug Medicare PaymentAmount | 8057.02 |
| Total Drug Medicare Standardized Payment Amount | 8057.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 137 |
| Number Of Medical Services | 3752 |
| Number Of Medicare Beneficiaries With Medical Services | 2932 |
| Total Medical Submitted Charge Amount | 2254369.68 |
| Total Medical Medicare Allowed Amount | 565922.15 |
| Total Medical Medicare Payment Amount | 430037.52 |
| Total Medical Medicare Standardized Payment Amount | 406605.42 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 537 |
| Number Of Beneficiaries Age 65 to 74 | 1198 |
| Number Of Beneficiaries Age 75 to 84 | 821 |
| Number Of Beneficiaries Age Greater 84 | 377 |
| Number Of Female Beneficiaries | 1799 |
| Number Of Male Beneficiaries | 1134 |
| Number Of Non Hispanic White Beneficiaries | 2411 |
| Number Of Black or African American Beneficiaries | 387 |
| Number Of AsianPacific Islander Beneficiaries | 48 |
| Number Of Hispanic Beneficiaries | 43 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2465 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 468 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.4251 |